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This is VAERS ID 1082464

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1082464
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-08
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death, Depressed level of consciousness, Oral discharge, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-14
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:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Subarachnoid haemorrhage (7 + years ago required full care however had been medically well for several years.); Comments: Patient had a SAH 7 + years ago required full care however had been medically well for several years. Patient had COVID in Jan 2020 caught in a care home. Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021238920

Write-up: Death NOS; Symptoms included an increase in Oral secretions and a reduction in alertness.; Symptoms included an increase in Oral secretions and a reduction in alertness.; This is a spontaneous report from a contactable other HCP. This is a report received from the Regulatory Agency RA)(. Regulatory authority report number GB-MHRA-WEBCOVID-202103031027278470, Safety Report Unique Identifier GB-MHRA-ADR 24867272. A 71-year-old female patient received the first dose of BNT162B2 (P FIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 08Feb2021 at single dose for COVID-19 immunisation. Medical history included subarachnoid haemorrhage (7 + years ago required full care however had been medically well for several years) and COVID in Jan2020 (the patient had COVID in Jan2020 caught in a care home.) The patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient was vaccinated on Monday 08Feb2021 and she had a slow deterioration over the week. The patient had complex care needs however she was medically well and being looked after at home. Symptoms included an increase in oral secretions and a reduction in alertness. The outcome of oral secretions and a reduction in alertness was unknown. The patient died on 14Feb2021. The cause of death was not reported; it was unknown if an autopsy was performed. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible, information about batch/lot number cannot be obtained.; Reported Cause(s) of Death: Death NOS

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