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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||EJ6790 / 2||- / -|
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
Other Medications: IRBESARTAN; COLECALCIFEROL; MACROGOL EN ELEKTROLYTEN; DIPIPERON; ACETYLSALICYLZUUR; LORAZEPAM
Preexisting Conditions: Medical History/Concurrent Conditions: Dementia
Diagnostic Lab Data:
CDC 'Split Type': NLPFIZER INC2021256642
Write-up: Death; This is a spontaneous report downloaded from The Regulatory Agency-WEB NL-LRB-00457824. The report was received from a contactable Physician via the Regulatory Authority. A 76-years-old female patient received the second dose of bnt162b2 (COMIRNATY, batch: EJ6790), via an unspecified route of administration on 25Feb2021 at single dose for covid-19 immunisation. Medical history included dementia. Concomitant medication included irbesartan (IRBESARTAN), colecalciferol (COLECALCIFEROL), macrogol 3350, potassium chloride, sodium bicarbonate, sodium chloride (MACROGOL EN ELEKTROLYTEN), pipamperone hydrochloride (DIPIPERON), acetylsalicylzuur (ACETYLSALICYLZUUR), lorazepam (LORAZEPAM). The patient received the first dose of Comirnaty on 28Jan2021 and experienced no adverse event. The patient died on 25Feb2021 about 7 hours after being vaccinated. It was not reported if an autopsy was performed. Reporters comment: ADR: Concerns a 76-year-old woman with dementia. No evidence that death is related to vaccination. But also no other explanation for death except for dementia. Previous COVID-19 infection: No No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Unknown cause of death
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