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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1086566



Case Details

VAERS ID: 1086566 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-25
Onset:2021-02-12
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELLCEPT [MYCOPHENOLATE MOFETIL]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Myositis
Allergies:
Diagnostic Lab Data: Test Date: 202102; Test Name: COVID-19 PCR test; Test Result: Positive
CDC Split Type: DEPFIZER INC2021236718

Write-up: Covid-19; Covid-19; This is a spontaneous report from a non-contactable physician from the regulatory authority-WEB DE-PEI-PEI2021003038 . A 80-year-old female patient received two doses bnt162b2 (COMIRNATY) , via an unspecified route of administration on 04Jan2021 and 25Jan2021 both at single doses for covid-19 immunisation. Medical history included myositis. Concomitant medication included immunotherapy with mycophenolate mofetil (CELLCEPT) for myositis. On 12Feb2021 after vaccination the patient developed COVID-19 and death on 12Feb2021. Diagnosis was confirmed by COVID-19 PCR test (result: positive) in Feb2021. Death cause was reported as COVID-19. The patient died on 12Feb2021. An autopsy was not performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: COVID-19; COVID-19


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