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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EP2163 / 1||- / -|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Preexisting Conditions: Medical History/Concurrent Conditions: Dilated cardiomyopathy
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021272210
Write-up: Exitus letalis/ patient is dead; This is a spontaneous report downloaded from the Agency-WEB DE-PEI-PEI2021003244. A non-contactable physician reported for an 85-year-old male patient received first dose of BNT162B2 (COMIRNATY; Solution for injection; Lot Number: EP2163), via an unspecified route of administration on 07Mar2021 at single dose for COVID-19 immunisation. Medical history included dilated cardiomyopathy. The patient''s concomitant medications were not reported. On 08Mar2021, after vaccination the patient was Exitus Letalis/ patient is dead, lasting for unknown. The patient died on 08Mar2021. An autopsy was performed, and results were not provided. No follow-up attempts needed. Follow-up automatically provided by Health Authority.; Reported Cause(s) of Death: Exitus letalis/ patient is dead
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