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This is VAERS ID 1061492

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1061492
VAERS Form:2
Age:81.0
Sex:Female
Location:Foreign
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APIXABAN; FUROSEMID; RAMILICH; METAMIZOLE; FENTANYL; TAMSULOSIN; PREGABALIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021191546

Write-up: Death; Vomiting; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory Authority-WEB DE-DCGMA-21188000. An 81-year-old female patient received the first dose of bnt162b2 (COMIRNATY) (Lot no.: EM0477), via an unspecified route of administration at single dose on 14Jan2021 for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included apixaban, furosemide (FUROSEMID), ramipril (RAMILICH), metamizole, fentanyl, tamsulosin, pregabalin. On 14Jan20, the patient developed vomiting and death. The patient died on 14Jan2021. An autopsy was not performed. Reporter comments: UAW: The patient vomited in the evening after the Covid vaccination and was then found dead. No follow-up attempts are needed. No further information is expected.; Reporter''s Comments: UAW: The patient vomited in the evening after the Covid vaccination and was then found dead.; Reported Cause(s) of Death: Unknown cause of death

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