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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1067532



Case Details

VAERS ID: 1067532 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-02-08
Onset:2021-02-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-13
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021208060

Write-up: Lethal death in multimorbidity; This is a spontaneous report from a non-contactable physician downloaded from the regulatory authority [regulatory authority DE-PEI-PEI2021002827]. A 92-year-old male patient received the second dose of bnt162b2 (COMIRNATY) on 08Feb2021 at a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Historical vaccine included the first dose of bnt162b2 (COMIRNATY) in Jan2021 for COVID-19 immunisation (had been tolerated). On 13Feb2021 after vaccination the patient developed lethal death in multimorbidity. The patient is dead. It was not reported if an autopsy was performed. Reaction(s) / Event(s) Assessed Unclassifiable by regulatory authority. No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: Lethal death in multimorbidity


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