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This is VAERS ID 1121533

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1121533
VAERS Form:2
Age:70.0
Sex:Male
Location:Foreign
Vaccinated:2021-01-28
Onset:2021-01-28
Submitted:0000-00-00
Entered:2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Pneumonia, Coronavirus test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-01
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: 35     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Heart disease, unspecified; Kidney disorder; Liver disorder; Spleen disorder
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210211; Test Name: Nasal Swab; Test Result: Negative
CDC 'Split Type': ILPFIZER INC2021277215

Write-up: underwent a stroke; pneumonia; This is a spontaneous report from a contactable consumer received. A 70-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 28Jan2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history included ongoing liver disorder, ongoing spleen disorder, ongoing cardiac disorder, ongoing renal disorder. The patient''s concomitant medications were not reported. The patient received the vaccine without his knowledge at PRIVACY Hospital where he was hospitalized for rehabilitation. He then had a stroke and pneumonia and died a month after the vaccination. The patient was hospitalized for underwent a stroke and pneumonia for 35 days. The patient underwent lab tests and procedures which included coronavirus test: negative on 11Feb2021. The patient died on Feb2021. It was not reported if an autopsy was performed.; Reported Cause(s) of Death: pneumonia; stroke

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1121533&WAYBACKHISTORY=ON

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