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This is VAERS ID 1065050

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1065050
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-29
Onset:2021-01-29
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM 0477 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-29
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: AMLODIPINE; PERINDOPRIL ARGININE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NLPFIZER INC2021202398

Write-up: The person concerned has suffered a CVA and died on 29/01; This is a spontaneous report a contactable physician downloaded from the Regulatory Authority-WEB [regulatory authority NL-LRB-00446641] A 99-years-old female patient received first dose of bnt162b2 (COMIRNATY, Lot number: EM 0477), via an unspecified route of administration on 29Jan2021 at single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included amlodipine, perindopril arginine. The patient experienced the person concerned has suffered a cva and died on 29/01 on 29Jan2021. The patient deceased within 1 day after vaccination. The patient died on 29Jan2021. It was not reported if an autopsy was performed. No follow-up attempts possible. No further information expected.; Reporter''s Comments: BioNTech/Pfizer vaccin (Comirnaty) -Past drug therapy BioNTech/Pfizer vaccin (Comirnaty): no ---------- COVID19 -Previous COVID-19 infection: No Other -diagnostic procedures: no; Reported Cause(s) of Death: CVA

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1065050&WAYBACKHISTORY=ON

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