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This is VAERS ID 1153633

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1153633
VAERS Form:2
Age:75.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-19
Onset:2021-02-20
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8723 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Pulmonary artery thrombosis, Pulmonary vasculitis, Lymphocytic infiltration

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:
CDC 'Split Type': DEPFIZER INC2021328303

Write-up: ; This is as spontaneous report received from a non-contactable physician downloaded from there regulatory authority. The regulatory authority report number is DE-PEI-PEI2021003643. A 75-years-old female patient received bnt162b2 (COMIRNATY, Solution for injection), intramuscular on 19Feb2021 first/ second or other dose (Batch/Lot Number: EL8723) at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On 20Feb2021 after vaccination the patient developed Thrombosis pulmonary artery and Lymphocytic infiltration and Pulmonary vasculitis, lasting for unknown. The patient was dead. The patient died on an unspecified date. It was not reported if an autopsy was performed. Outcome of the events was fatal. No follow-up attempts possible. No further information expected. Information on lot/batch number already obtained.; Reporter''s Comments: Autopsy follows; Reported Cause(s) of Death: Fulminant thrombosis of the pulmonary arteries bds; Lymphocytic infiltration of the right ventricular myocardium; Microvascular inflammatory reaction of the pulmonary end-stream pathway

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