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This is VAERS ID 1061849

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1061849
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-02-05
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Hyperpyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-01
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210207; Test Name: Body temperature; Result Unstructured Data: Test Result:40.5 to 42 Centigrade
CDC 'Split Type': NLPFIZER INC2021191179

Write-up: Hyperpyrexia (body temperature from 40.5 to 42 degrees Celsius); This is a spontaneous report downloaded from the Regulatory Authority-WEB, Authority number: NL-LRB-00443764. A contactable consumer reported that an 83 years old male patient received the first dose of BNT162B2 (COMIRNATY) at single dose, on 05Feb2021, for COVID-19 immunisation. Relevant medical history was unknown. Concomitant medications included non-specified blood thinner. On 07Feb2021, the patient experienced hyperpyrexia (body temperature from 40.5 to 42 degrees Celsius). The patient died on an unspecified date, in Feb2021.Clinical outcome of the event was fatal. It was unknown if autopsy was done. Case Summary and Reporter''s Comments: BioNTech / Pfizer vaccine (COMIRNATY). Past drug therapy BioNTech / Pfizer vaccine (COMIRNATY): no Previous COVID-19 infection: No Diagnostic procedures: No No follow-up attempts are possible, information about lot number cannot be obtained.; Reporter''s Comments: BioNTech / Pfizer vaccine (COMIRNATY). Past drug therapy BioNTech / Pfizer vaccine (COMIRNATY): no Previous COVID-19 infection: No Diagnostic procedures: No; Reported Cause(s) of Death: Hyperpyrexia (body temperature from 40.5 to 42 degrees Celsius)

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