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This is VAERS ID 1112861

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1112861
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-07
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Blood glucose, Confusional state, Hyperglycaemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-08
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: BGL; Result Unstructured Data: Test Result:27
CDC 'Split Type': AUPFIZER INC2021265262

Write-up: Vomited; confused; BGL 27; This is a spontaneous report received from the Therapeutic Goods Administration (TGA) (Regulatory authority number AU-TGA-0000522242). The reporter type to the TGA was reported as a Health Professional. A 95-year-old female patient received the first dose BNT162B2 (COMIRNATY; Lot number not provided), intramuscular on 07Mar2021 at 14:00, at single dose for covid-19 immunisation. Medical history was unknown. Relevant concomitant medications were unknown. The patient received the first dose of vaccine at 14:00, and did not experienced issues immediately following vaccination. On 07Mar2021 she was found confused at 02:00hrs with blood glucose 27. On 08Mar2021 at a 20:00hrs the patient experienced vomiting. The patient was transferred to hospital at 03.20hrs, 09Mar2021 (as reported). It was reported that the patient passed away in the evening of the 08Mar2021. Clinical outcome of the adverse events was fatal. No follow-up attempts are possible; information about lot number cannot be obtained.; Reported Cause(s) of Death: Vomited; confused; BGL 27

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