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This is VAERS ID 1113790

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1113790
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN3924 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Hypertension, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-17
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: Hypertension
Preexisting Conditions: Medical History/Concurrent Conditions: High temperature; Comments: Hypertension and high cholestorol Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021268506

Write-up: Hypertension/ caused her death at some stage; This is a spontaneous report downloaded from the Regulatory Agency. Regulatory authority numbers was GB-MHRA-WEBCOVID-202103101020100940, GB-MHRA-ADR 24910253. A contactable consumer reported a 70 years old female patient received 1st dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACINE) on 04Feb2021 at single dose for COVID-19 immunisation (Lot: EN3924). Relevant medical history included ongoing hypertension and high temperature. It was also noted that the patient had not had symptoms associated with COVID-19 and the patient was not enrolled in clinical trial. The relevant concomitant medications were unknown. The patient died on 17Feb2021. The reporter stated that the patient suffered all her life with hypertension and undoubtedly, it would have caused her death at some stage, but their feeling was that there could have been something around the COVID vaccine being administered that possibly tipped the balance. Results of test of the patient included negative COVID-19 test. Patient had not tested positive for COVID-19 since having the vaccine. This case was reported with hypertension being the only fatal event. It was unknown if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: hypertension

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