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

This is VAERS ID 1093103



Case Details

VAERS ID: 1093103 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-22
Onset:2021-03-07
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0739 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death, Eating disorder, Fatigue, Hypersomnia, SARS-CoV-2 test
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-07
   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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Drowsiness; Excessive eating
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021251539

Write-up: tiredness; stopped eating; felt asleep/She hasn''t really woken properly since. Awake for a minute or so only; death; This is a spontaneous report from a contactable consumer received from the Agency Regulatory Authority. Regulatory authority report number GB-MHRA-APPCOVID-20210307110917, Safety Report Unique Identifier GB-MHRA-ADR 24894109. A 91-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EL0739) via an unspecified route of administration on 22Jan2021 at single dose for COVID-19 immunisation. Relevant medical history included hyperphagia and somnolence. Concomitant medications were not reported. On an unspecified date, the patient experienced tiredness with fatal outcome and died (cause of death was unknown) on 07Mar2021. It was unknown if an autopsy was performed. The patient underwent a COVID-19 virus test on an unspecified date with negative result. The patient experienced extreme immediate tiredness for over six weeks to death. Nothing else changed. The patient went from quite well and happy to drastic change immediately. She stopped eating and drastic downward spiral. It was also specified that the patient was well for a year in reporter''s home. The patient had a few aged problems, but enjoying life, happy and eating well. Immediately after her jab she came home, refused her favorite meal and felt asleep. She hasn''t really woken properly since. Awake for a minute or so only. She Stopped walking, talking etc . The doctor was aware, and bloods were taken. There was no change in medications. The patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: death


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