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

This is VAERS ID 1100098



Case Details

VAERS ID: 1100098 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-02-26
Onset:2021-03-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6136 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-01
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021256454

Write-up: Death from unspecified cause; This is a spontaneous report from a contactable physician (General Practitioner) downloaded from the regulatory authority-WEB, IT-MINISAL02-689813. A 95-year-old male patient received the first dose of BNT162B2 (COMIRNATY, lot number: EJ6136), intramuscularly in left deltoid on 26Feb2021 at single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient died on 01Mar2021 from unspecified cause. It was not reported if an autopsy was performed. Reporter Comment: On 03Mar2021 request for clinical report, on 04Mar2021 insertion of the reporter''s clinical report. Sender Comment: Spontaneous reporting form inserted in the regional vaccination register received following access by the local regulatory authority manager. No follow-up attempts are possible. No further information is expected.; Reporter''s Comments: On 03Mar2021 request for clinical report, on 04Mar2021 insertion of the reporter''s clinical report.; Reported Cause(s) of Death: Death from unspefied cause


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