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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1107068



Case Details

VAERS ID: 1107068 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-11
Onset:2021-02-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Malaise, Pyrexia, Transient ischaemic attack
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-12
   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: Medical History/Concurrent Conditions: Disease risk factor
Allergies:
Diagnostic Lab Data: Test Date: 20210212; Test Name: Body temperature; Result Unstructured Data: Test Result:38 to 40.5 Centigrade
CDC Split Type: NLPFIZER INC2021256568

Write-up: Fever 38 to 40.5 C; Death, first the patient got something that looked like suspected TIA; Not feeling well; This is a spontaneous report downloaded from the regulatory authority-WEB number NL-LRB-00462485] from a contactable other health professional. A 91-year-old female patient received bnt162b2 (COMIRNATY), via an unspecified route of administration, on 11Feb2021, at single dose, for COVID-19 immunisation. Medical history included disease risk factor. Concomitant medications were not reported. The patient experienced fever 38 to 40.5 C (fatal) on 12Feb2021, death, first the patient got something that looked like suspected TIA (fatal) on 12Feb2021, malaise (fatal) on 12Feb2021. Pyrexia has been treated with morphine. The patient underwent lab tests and procedures which included pyrexia on 12Feb2021: fever: 38 to 40.5 C. The patient died on 12Feb2021. It was not reported if an autopsy was performed. Case Summary and Reporter Comment: Additional information ADR: First patient got something that looked like a suspected TIA. Previous COVID-19 infection: No. Other diagnostic procedures: No, it is being covered up. Comments report form: The exact data of the client can I do not pass on because of privacy. Seven clients died at this address in a short time. Possibly partly because of the vaccine. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reporter''s Comments: First patient got something that looked like a suspected TIA. Previous COVID-19 infection: No. Other diagnostic procedures: No, it is being covered up. Comments report form: The exact data of the client can I do not pass on because of privacy. Seven clients died at this address in a short time. Possibly partly because of the vaccine.; Reported Cause(s) of Death: Death, first the patient got something that looked like suspected TIA; Not feeling well; Fever 38 to 40.5 C


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