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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1075434

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Case Details

VAERS ID: 1075434 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-15
Onset:2021-01-22
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1491 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-27
   Days after onset: 5
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: Cervix carcinoma (status after Cervix-Ca)
Allergies:
Diagnostic Lab Data: Test Date: 20210122; Test Name: Sars-CoV2 test; Test Result: Positive
CDC Split Type: ATPFIZER INC2021221782

Write-up: Death/ Sars-CoV-2 infection positive; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB [AT-BASGAGES-2021-04879]. A 89-years-old female patient received bnt162b2 (COMIRNATY, batch/lot number: EL1491), via an unspecified route of administration on 15Jan2021 at single dose for covid-19 immunisation. Medical history included status after Cervix-Ca (not ongoing Cervix carcinoma). The patient''s concomitant medications were not reported. The patient experienced SARS-COV-2 test positive on 22Jan2021. The patient died on 27Jan2021 from COVID-19 respiratory infection (also reported the patient experienced death on 22Jan2021). The cause of death was SARS-COV-2 infection according to death certificate. It was not reported if an autopsy was performed. The patient''s outcome was fatal. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: COVID-19 respiratory infection


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