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This is VAERS ID 1065186

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1065186
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-17
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-02
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:
CDC 'Split Type': DEPFIZER INC2021199881

Write-up: Letal death; This is a spontaneous report a non-contactable physician downloaded from the Medicines Agency (MA) regulatory authority-WEB regulatory authority DE-PEI-PEI2021002786. An 85-year-old female patient received BNT162B2 (COMIRNATY, lot number: EM0477) via an unspecified route of administration on 17Jan2021 at single dose for COVID-19 immunisation. Medical history and concomitant medications were unknown. 16 days after vaccination, the patient developed death on 02Feb2021. The patient was dead on 02Feb2021. It was unknown if autopsy was performed. Result of assessment was inconsistent causal association. No follow-up attempts possible. No further information expected. ; Reported Cause(s) of Death: Letal death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1065186&WAYBACKHISTORY=ON

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