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

This is VAERS ID 1151784



Case Details

VAERS ID: 1151784 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-08
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiovascular disorder, Cerebral haemorrhage, Chills, Fall, Feeling cold, Malaise, Myalgia, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-09
   Days after onset: 8
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: DEPFIZER INC2021328786

Write-up: severe cerebral hemorrhage due to fall trauma; severe cerebral hemorrhage due to fall trauma; syncope; chills; fever; felt cold; circulation problems; pain must have been muscle pain due to the vaccination; did not feel well; This is a spontaneous report based on information received by Pfizer from Biontech, manufacturer control number: 25400], license party for Comirnaty. A contactable consumer reported that a 89-year-old female patient received the second dose bnt162b2 (COMIRNATY, lot number and expiry date unknown), via an unspecified route of administration on 08Mar2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 (COMIRNATY) on an unspecified date for COVID-19 immunization and experienced mild vaccination site pain. The reporter stated that the patient was fit and healthy despite of her age. Her death could have been avoided if they had known that the patient should not be left alone after vaccination. The patient saw the reporter on 07Mar2021 and they went on a long walk. The patient had to "wait" 15 minutes after the vaccination on 08Mar2021. In the evening of 08Mar2021, the reporter''s aunt and sister spoke to the patient on the phone and she was well. She was very happy that life would go on as usual and she would be able to go to the gym 3 times weekly. The reporter spoke to the patient on the phone on 09Mar2021 between 9.30 to 10 am. She had no complaints due to the vaccination by then. They thought everything was fine because she had no side-effects after the first vaccination except for mild vaccination site pain. The reporter''s aunt was not able to reach the patient on the evening of 09Mar2021. They both tried reaching the patient on 10Mar2021 until the early evening unsuccessfully. Afterwards the reporter went to check on her. The reporter found her on the kitchen floor. She lay on her back like sleeping. The police and the emergency physician came fast and confirmed her death. The autopsy has been performed on 11Mar2021 according to instruction of the prosecution department. The reporter''s mother died due to severe cerebral hemorrhage caused by trauma. The cause of death was fall. They were able to find out what must have happened before her death. Due to a neighbor''s observations and the fact that the reporter''s aunt was not able to reach her, they suspect that she died between 10 am and before dawn on 09Mar2021. The heating was extremely turned on. They suspect that she had chills or fever and felt cold. Additionally, she was looking for painkillers in her draw despite not taking any medication otherwise. She has taken a painkiller "in prop form" NOS (as reported) from the draw and went towards the kitchen probably in order to get some water. The patient collapsed at the entrance of the kitchen and fell backwards on the floor or against a metal leg of a small table. According to the physicians she was dead at once, a so called "second death". The physicians in their family explained to the reporter the cause of death described in the autopsy. Due to the heat in the apartment, the patient probably experienced circulatory problems, the pain must have been muscle pain due to the vaccination. She usually drank enough, but it is possible that she did not drink enough that day because she did not feel well. The outcome of the events syncope, chills, fever, felt cold, muscle pain, did not feel well and circulation problems was unknown. The patient died on 09Mar2021 due to severe cerebral hemorrhage due to fall trauma. Information on the lot/batch number has been requested.; Reported Cause(s) of Death: severe cerebral hemorrhage due to fall trauma; severe cerebral hemorrhage due to fall trauma


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