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This is VAERS ID 1075437

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First Appeared on 7/2/2021

VAERS ID: 1075437
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Cardiac failure, Cardio-respiratory arrest, COVID-19, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
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: Cardiac insufficiency; Chronic pain; Chronic renal insufficiency; Polyneuropathy
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (COVID post Infection)
Diagnostic Lab Data: Test Date: 20210120; Test Name: COVID-19 PCR test; Test Result: Positive
CDC 'Split Type': ATPFIZER INC2021221817

Write-up: Cardio-respiratory arrest; Cardiac insufficiency; COVID post Infection; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority -WEB AT-BASGAGES-2021-04887. A 91-year-old female patient received 1st vaccination of bnt162b2 (COMIRNATY, lot number: EL1491) via an unspecified route of administration on 15Jan2021 at single dose for covid-19 immunisation. Ongoing underlying diseases include polyneuropathy, chronic pain syndrome, chronic renal insufficiency, cardiac insufficiency. Patient had COVID-19 (COVID post Infection) in Jan2021. The patient''s concomitant medications were not reported. A possible connection between deaths and COVID vaccinations carried out shortly before is suspected. The people were all vaccinated against COVID-19 on 15Jan2021 (1st vaccination with Comirnaty, batch EL1491), tested positive 4 to 13 days later (one patient 32nd Days later) and died 10 to 20 days after the vaccination (said patient 37 days later). A comparable number of deaths has not occurred in the retirement home in recent years. Since 01Jan COVID infection is circulating in the home. All 12/14 deceased were tested positive for Sars-CoV2 by means of PCR. The patient of this report is also positive, tested for Sars-CoV2 by means of PCR (20Jan2021), then on 06Feb2021 patient died in the home. Patient died on 06Feb2021 from COVID-19 respiratory infection, Cardio-respiratory arrest, Cardiac insufficiency. Causes of death according to death certificate from 07Feb2021: Cardiovascular arrest, known cardiac insufficiency, status post COVID positive infection. No autopsy performed. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Cardiac insufficiency; Cardio-respiratory arrest; COVID post Infection

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