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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1148858



Case Details

VAERS ID: 1148858 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-26
Onset:2021-03-29
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN SINCE PT''LAST FILLED PRESCRIPTION IN THE PHARMACY WAS ON 8/31/2020 FOR NOVOLOG, CARAFATE, COREG, PEPCID AND LASIX
Current Illness: PT IS ON DIALYSIS THREE TIMES WEEKLY
Preexisting Conditions:
Allergies: NO NKOWN DRUG ALLERGY
Diagnostic Lab Data:
CDC Split Type:

Write-up: UNKNOWN. PT''S WIFE CALLED US TODAY 3/30/2021 TO INFORM US THAT PATIENT PASSED AWAY ON 3/29/2021 DUE TO MASSIVE HEART ATTACKED


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1148858

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