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This is VAERS ID 1065181

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1065181
VAERS Form:2
Age:86.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-10
Onset:2021-02-12
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-12
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: LERCANIDIPINE; MOXONIDIN; APIXABAN; PRAMIPEXOLE; L-DOPA; ISOSORBIDE; SIMVASTATIN; METOPROLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Apoplexy; Artificial cardiac pacemaker user; Atrial fibrillation; AV block third degree; Cerebral ischaemia; COPD; Dementia; Hypertension arterial; Parkinson''s disease; Sick sinus syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021199863

Write-up: Sudden death; This is a spontaneous report from a non-contactable physician downloaded from the Medicines Agency (MA) Regulatory authority-WEB [DE-DCGMA-21188070]. A female patient of an unspecified age received the first dose of bnt162b2 (COMIRNATY), intramuscularly on 10Feb2021 at single dose for covid-19 immunisation. Medical history included AV block third degree, Parkinson''s disease, artificial cardiac pacemaker user, hypertension arterial, chronic obstructive pulmonary disease (COPD), sick sinus syndrome, cerebral ischaemia, dementia, apoplexy and atrial fibrillation, all from an unknown date and unknown if ongoing. Concomitant medication included lercanidipine, moxonidine (MOXONIDIN), apixaban, pramipexole, l-dopa, isosorbide, simvastatin and metoprolol. On 12Feb2021 after vaccination, the patient developed death sudden, lasted for unknown. Death cause was reported as sudden death. It was not reported if an autopsy was performed. Relatedness of drug to reactions/events assessed as D. Unclassifiable as PEI. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Sudden death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1065181&WAYBACKHISTORY=ON

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