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This is VAERS ID 1104947

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1104947
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Encephalitis, Respiratory failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-08
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021267042

Write-up: Meningoencephalitis; acute pulmonary failure; This is a spontaneous report downloaded from the Regulatory Authority-WEB, regulatory authority number: DE-PEI-PEI2021003222. A 54-years-old female patient received bnt162b2 (COMIRNATY, Solution for injection), via an unspecified route of administration from 06Mar2021 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 06Mar2021 patient experienced meningoencephalitis (death), acute pulmonary failure (death) on 06Mar2021. Seriousness of the case was death. Outcome of the both events was fatal. The patient died on 08Mar2021. It was not reported if an autopsy was performed. No follow-up attempts needed, follow-up automatically provided by regulatory authority.; Reported Cause(s) of Death: acute pulmonary failure; Meningoencephalitis

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