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This is VAERS ID 1112871

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1112871
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-24
Onset:2021-02-25
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6789 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cardiovascular disorder

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-25
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: ALPRAZOLAM; PARACETAMOL; XARELTO; COVALSAR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Artificial cardiac pacemaker user (pacemaker); Atrial fibrillation (consecrated atrial fibrillation); Mitral insufficiency; Weight normal (normal build)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEPFIZER INC2021266831

Write-up: Cardiovascular disorder; This is a spontaneous report received from a physician downloaded from the Regulatory Authority-WEB BE-FAMHP-DHH-N2021-80414. This report originated from the Regulatory Authority. A 92 year old female patient received 2nd dose of bnt162b2 (COMIRNATY- lot number EJ6789), via an unspecified route of administration on 24Feb2021 12:00 for covid-19 immunisation. Medical history included consecrated atrial fibrillation, mitral valve incompetence. The patient had a pacemaker and was from normal build. Concomitant medication included alprazolam, paracetamol, rivaroxaban (XARELTO), hydrochlorothiazide, valsartan (COVALSAR). The patient experienced cardiovascular disorder on 25Feb2021. The patient died on 25Feb2021. It was not reported if an autopsy was performed. Regulatory Authority considered the event as unclassifiable. Reporter comment: vaccination process totally normal on 24Feb2021 at 12h, no post-vaccination reaction. Patient was found deceased in bed on 25Feb2021 at 8 am. The death certificate concludes a natural death, probably stroke or fatal arrhythmia. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Cardiovascular disorder

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1112871&WAYBACKHISTORY=ON

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