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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||EP9598 / 2||- / -|
Administered by: Other Purchased by: ??
Symptoms: Death, Glomerular filtration rate, Haemoglobin
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
Other Medications: ACETYLSALICYLZUUR; METFORMINE [METFORMIN]; OMEPRAZOL; LORAZEPAM; TOLTERODINE
Current Illness: Anemia; Chronic renal insufficiency; Vascular dementia
Diagnostic Lab Data: Test Name: eGFR; Result Unstructured Data: Test Result:22; Test Name: Hb; Result Unstructured Data: Test Result:6.8
CDC 'Split Type': NLPFIZER INC2021256560
Write-up: Death; This is a spontaneous report from a contactable physician via Regulatory Authority, downloaded from the Agency Regulatory Authority-WEB (NL-LRB-00462109). A 91-year-old male patient received the second dose of BNT162B2 (COMIRNATY; Lot number EP9598) via an unspecified route of administration on 02Mar2021 at single dose for COVID-19 immunisation. Relevant medical history included ongoing chronic kidney disease, ongoing vascular dementia and ongoing anaemia. Concomitant medications included acetylsalicylic acid (ACETYLSALICYLZUUR) 80 mg, metformin (METFORMINE) 250 mg, omeprazole (OMEPRAZOL) 20 mg, lorazepam 1 mg and tolterodine 2 mg. The patient previously took the first dose of BNT162B2 (COMIRNATY) for COVID-19 immunization on an unspecified date and risperidone on an unspecified date and experienced malaise, fluid intake reduced and consciousness decreased. The patient died on 02Mar2021, 3 hours after vaccination. The patient underwent lab tests and procedures on an unspecified date which included glomerular filtration rate 22 and haemoglobin 6.8. The cause of death was unknown. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Linked Report(s) : NL-PFIZER INC-2021261550 same patient, same vaccine, different events after different doses; Reported Cause(s) of Death: Unknown cause of death
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