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This is VAERS ID 1152980

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1152980
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-23
Onset:2021-03-04
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: Vaccination failure, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210304; Test Name: positive after 9 days; Test Result: Positive
CDC 'Split Type': NLPFIZER INC2021333751

Write-up: vaccination failure/COVID-19 confirmed by positive COVID-19 test 9 days after start; COVID-19 confirmed by positive COVID-19 test 9 days after start; This is a spontaneous report from a contactable physician downloaded from the Agency Agency-WEB, regulatory authority number NL-LRB-00482557. An 87-year-old female patient received the first dose of bnt162b2 (COMIRNATY), on 26Jan2021 and then received the second dose on 23Feb2021 both via an unspecified route of administration as a single dose for COVID-19 vaccination. The patient''s medical history and concomitant medications were not reported. On 04Mar2021, the patient experienced vaccination failure/covid-19 confirmed by positive covid-19 test 9 days after start. The outcome of the events was fatal. Cause of death was vaccination failure/covid-19 confirmed by positive covid-19 test 9 days after start. The patient died on an unspecified date. It was unknown if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: COVID-19 confirmed by positive COVID-19 test 9 days after start; vaccination failure/COVID-19 confirmed by positive COVID-19 test 9 days after start

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1152980&WAYBACKHISTORY=ON

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