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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1070769



Case Details

VAERS ID: 1070769 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Medical History/Concurrent Conditions: Diabetes; Heart disorder; Hospitalization; Pacemaker insertion (cardiac)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021224736

Write-up: then died within 24 hours afterwards; This is a spontaneous report from a contactable consumer. This consumer reported that a 74-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number unknown), via an unspecified route of administration an unspecified date at single dose for COVID-19 immunization. Concomitant medications were not reported. The patient with a host of health issues (heart issues/had a pace maker, diabetes, among others) was in a rehabilitation center following a hospital stay and was given the second dose of vaccine. It was reported that the patient died within 24 hours afterwards. It was not reported if an autopsy was performed. Information on batch/lot number was requested.; Reported Cause(s) of Death: then died within 24 hours afterwards


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