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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EJ6797 / 1||- / -|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021199876
Write-up: letal death; This is a spontaneous report from a non-contactable physician downloaded from the Medicines Agency (MA) regulatory authority-WEB [regulatory authority DE-PEI-PEI2021002782]. A 91-year-old female patient received first dose of bnt162b2 (COMIRNATY, lot number: EJ6797), via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunisation. The relevant medical history and concomitant medications were not reported. The patient experienced letal death on 17Jan2021. Case narrative: 11 day(s) after vaccination the patient developed Death. The patient was dead. Time Interval between Beginning of Drug Administration and Start of Reaction/ Event (number): 12 days (as reported). Source of assessment: Attending Physician; Result of Assessment: Inconsistent causal association. The patient died on 17Jan2021. It was unknown if an autopsy was performed. The outcome of the event was fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: letal death
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