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

This is VAERS ID 1113825



Case Details

VAERS ID: 1113825 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2021-02-17
Submitted: 0000-00-00
Entered: 2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dehydration, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-18
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021256473

Write-up: diarrhea and vomiting resulting in dehydration; diarrhea and vomiting resulting in dehydration; diarrhea and vomiting resulting in dehydration; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority, regulatory authority number IT-MINISAL02-690131. A 88-year-old female patient received her first dose of bnt162b2 (COMIRNATY) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and the patient''s concomitant medications were not reported. The patient experienced dehydration, diarrhea and vomiting, all on 17Feb2021. The events were reported as serious per death and described as diarrhea and vomiting resulting in dehydration. The patient died on 18Feb2021. It was not reported if an autopsy was performed. Reporter comment: report induced by family members (a daughter in particular) for suspicion of the causes of death ; Reported Cause(s) of Death: diarrhea and vomiting resulting in dehydration; diarrhea and vomiting resulting in dehydration; diarrhea and vomiting resulting in dehydration


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