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

This is VAERS ID 1149898



Case Details

VAERS ID: 1149898 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-01
Onset:2021-02-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0725 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Thrombosis
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-01
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bipolar disorder; Blood sugar increased
Allergies:
Diagnostic Lab Data:
CDC Split Type: SEPFIZER INC2021311754

Write-up: SEVERAL OF THROMBOSES; severe abdominal pain; This is a spontaneous report from a contactable nurse downloaded from the regulatory authority-WEB, regulatory authority numberSE-MPA-2021-018721. Other Case identifier number: SE-MPA-1615843203133. An 83-year-old female patient received first dose of bnt162b2 (COMIRNATY; Lot Number: EL0725) via an unspecified route of administration, on Feb2021, as SINGLE DOSE for covid-19 immunisation. Medical history included blood glucose increased and bipolar disorder. The patient''s concomitant medications were not reported. In Feb2021, 6 day after the vaccine, the patient developed severe abdominal pain and went to a hospital, where multiple thrombosis in her body was discovered. The woman died the following day. This was completely unexpected and sudden, is described as an alert woman who managed her life on her own. Outcome of abdominal pain was unknown while it was fatal for several thromboses. Cause of death was reported as several of thromboses. No autopsy was performed. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: several of thromboses


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