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

This is VAERS ID 1080429

Case Details

VAERS ID: 1080429 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Unknown  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-11
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant lab tests available within 30-days of death. August 2020 PFTs fvc-95 fev1-2.62, 110 fev1/fvc-87 tlc-82 rv/tlc-32 Impression: Normal spirometry. Normal total lung capacity. Severely reduced diffusing capacity
CDC Split Type:

Write-up: DEATH Narrative: no documentation regarding any immediate reaction after vaccine administration. 83 y.o. male with pmh severe pulmonary hypertension, s/p TAVR last year, severe asbestos related lung disease on chronic oxygen, recently started on palliative care. Was found by daugher deceased on the morning of 2/11/2021. Autopsy declined by family.

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