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This is VAERS ID 1109877

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1109877
VAERS Form:2
Age:61.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Malaise, Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
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': SIPFIZER INC2021255501

Write-up: Sudden death; Feeling unwell; This is a spontaneous report from a contactable physician downloaded from WEB. This is a report received from the regulatory authority. Regulatory authority report number is [SI-JAZMP-NCPHV-2021SI0210_0210]. A 61-year-old male patient received the 2nd dose of bnt162b2 (COMIRNATY) intramuscular at singled dose on 26Feb2021 for COVID-19 immunisation The patient medical history and concomitant medications were not reported. The patient experienced feeling unwell and sudden death on 27Feb2021. Course of events was as follows. On the next day in the morning, on 27Feb2021, the patient began to feel unwell and in the afternoon the patient suddently died. Autopsy will be performed. It was not reported if an autopsy was performed. Sender Comment: Follow up is expected in due course.; Reported Cause(s) of Death: Sudden death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1109877&WAYBACKHISTORY=ON

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