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

This is VAERS ID 1100154



Case Details

VAERS ID: 1100154 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-02-23
Onset:2021-02-28
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2166 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-28
   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: ATORVASTATIN; METFORMIN; PRETERAX [INDAPAMIDE;PERINDOPRIL ARGININE]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PTPFIZER INC2021246882

Write-up: Heart attack; This is a spontaneous report from a contactable consumer (patient''s daughter). A 70-year-old male patient received first dose of BNT162B2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, strength: 0.3 ml, Lot number: EP2166, expiration date: unknown) via an unspecified route of administration (location: Left arm) on 23Feb2021 at 10:00 AM at age of 70-year-old at 0.3 mL, single for COVID-19 immunisation. The patient''s medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The vaccine was administered at other facility. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included atorvastatin, metformin, and indapamide/ perindopril arginine (PRETERAX). The patient experienced heart attack on 28Feb2021 at 09:00 AM, seriousness criteria was reported as resulting to death. The patient didn''t receive any treatment for the event. Since the vaccination, he was not tested for COVID-19. The patient died on 28Feb2021 at 9:00 AM. The cause of death was reported as heart attack. An autopsy was not performed.; Reported Cause(s) of Death: Heart attack


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