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This is VAERS ID 1153649

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1153649
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-02-24
Onset:2021-02-26
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Death, Hypopnoea, Increased upper airway secretion

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-26
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: PRIMASPAN; AVODART; PANADOL FORTE [PARACETAMOL]; MEMANTIN ORION; GALVUS; TAMSULOSINE HCL SANDOZ; ANORO ELLIPTA; GABAPENTIN RATIOPHARM; DONEPEZIL ORION; SPESICOR DOS; CARDACE [RAMIPRIL]; KALCIPOS-D; MULTIVITAMINS [VITAMINS NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FIPFIZER INC2021328220

Write-up: Death; Shallow breathing; Increased upper airway secretion; This is a spontaneous report from a contactable consumer via Regulatory Authority, downloaded from the regulatory authority A male patient of an unspecified age received BNT162B2 (COMIRNATY) via an unspecified route of administration on 24Feb2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Relevant medical history was not reported. Concomitant medications included acetylsalicylic acid (PRIMASPAN) at 100 mg daily, dutasteride (AVODART) at 0.5 mg daily, paracetamol (PANADOL FORTE), memantine hydrochloride (MEMANTIN ORION) at 10 mg daily, vildagliptin (GALVUS) at 50 mg daily, tamsulosin hydrochloride (TAMSULOSINE HCL SANDOZ) at 0.4 mg daily, umeclidinium bromide/vilanterol trifenatate (ANORO ELLIPTA) at 1 DF daily, gabapentin (GABAPENTIN RATIOPHARM) at 900 mg daily, donepezil hydrochloride (DONEPEZIL ORION) at 10 mg daily, metoprolol succinate (SPESICOR DOS), ramipril (CARDACE) at 5 mg daily, calcium carbonate/colecalciferol (KALCIPOS-D) at 2 DF daily and multivitamins (MULTIVITAMINS [VITAMINS NOS]), 1x1, all taken for unspecified indications, start and stop dates were not reported. On 26Feb2021, the patient experienced increased upper airway secretion and shallow breathing and he died on 26Feb2021 (cause of death was unknown). On 26Feb2021, the patient became very mucous and his breathing was superficial. On 26Feb2021 he passed away. 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: death

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