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

This is VAERS ID 1111252

Case Details

VAERS ID: 1111252 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, General physical health deterioration, Myocardial infarction, SARS-CoV-2 test, Sepsis
SMQs:, Myocardial infarction (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Dementia; Hypertension; Ischemic heart disease; Type 2 diabetes mellitus; Watery diarrhea
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:unknown results
CDC Split Type: SEPFIZER INC2021120364

Write-up: Watery Diarrhea; REDUCED general condition; MYOCARDIAL INFARCTION; SEPSIS; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority WEB and received via Regulatory Authority SE-MPA-2021-001789. A 90-years-old female patient received bnt162b2 (COMIRNATY) vaccine , via an unspecified route of administration on Jan2021 at single dose for Covid-19 immunisation . Medical history included type 2 diabetes mellitus , dementia , hypertension, diarrhoea , myocardial ischaemia . Concomitant medication included paracetamol (ALVEDON), levetiracetam (LEVETIRACETAM), metoprolol succinate (BLOXAZOC), furosemide (FURIX [FUROSEMIDE]), enalapril (ENALAPRIL) , atorvastatin (ATORVASTATIN), ketobemidone hydrochloride (KETOGAN NOVUM), acetylsalicylic acid (ACETYLSALICYLIC ACID), felodipine (FELODIPINE), cyanocobalamin (BETOLVIDON). The patient experienced reduced general condition on Jan2021 , myocardial infarction on Jan2021 , sepsis on Jan2021. The patient died from the reported events. No autopsy will be performed. The woman had earlier in the week been admitted to the Emergency room due to diffuse rashes, interpreted as age-related rashes/hemangiomas, normal lab tests were taken, thereafter she got vaccinated with Comirnaty. The woman arrived at the emergency room 2 days after the vaccination with a deteriorating general condition since the day before and recurring periods of watery diarrhoea (unclear how long they have lasted) and she was admitted. The woman received Ringer''s Acetate to raise her blood pressure and albumin but got insufficient effect from this and was started on piperacillin / tazobactam, all hypertensive drugs were paused. No new Covid test was taken, but the woman was kept isolated as a Covid patient, the diarrhoea could be a sign of Covid. Lab values: white 20.4, Pk/INR 1.2, albumin 25, creatinine which has gone up to 278 and therefore gives an eGFR of 12, ASAT 3.5, ALAT 0.95, CRP 192, Troponin$g 10000, lactate 2.3 Palliative care is initiated due to pain and anxiety, which the patient may feel. The patient was found dead the next morning, assessment sepsis with unclear focus with dehydration and pronounced secondary infarction, given age and previous illnesses. No follow-up attempts possible. No further information expected.Lot/batch number was not provided and unable to obtain; Reported Cause(s) of Death: Reduced general condition; Myocardial infarct; Sepsis

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