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

This is VAERS ID 1161250



Case Details

VAERS ID: 1161250 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-03-19
Onset:2021-03-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET1831 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Death, Ischaemia
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-22
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: THROMBO ASA
Current Illness: Breast carcinoma; Peripheral arterial occlusive disease; Type 2 diabetes mellitus
Preexisting Conditions: Medical History/Concurrent Conditions: Stroke (status after stroke)
Allergies:
Diagnostic Lab Data:
CDC Split Type: ATPFIZER INC2021333393

Write-up: Death; Ischaemic event is suspected a few hours after vaccination; This is as spontaneous report received from a contactable physician downloaded from the Agency Regulatory Authority-WEB. The regulatory authority report number is AT-BASGAGES-2021-18836. A 79-year-old male patient received the bnt162b2 (COMIRNATY, Solution for injection, lot number: ET1831), intramuscular, on 19Mar2021 at a single dose for COVID-19 immunisation. The patient''s medical history included peripheral arterial occlusive disease (continuing), Type 2 diabetes mellitus (continuing), Stroke (not continuing), Breast carcinoma (continuing). The patient''s weight and height were not reported. Concomitant medications included acetylsalicylic acid (THROMBO ASA). On 19Mar2021, the patient experienced ischaemia. On 22Mar2021, the patient experienced death. Ischemic event is suspected a few hours after vaccination, patient probably spent 3 days sitting in his armchair. Evidence of death around 11 a.m on 22Mar2021. Outcome of the event ischaemia was unknown. Outcome of the event death was fatal. The patient died on 22Mar2021. It was not reported if an autopsy was performed. Reporter comment: Ischemic event is suspected a few hours after the vaccination, the patient probably spent 3 days sitting in his armchair. No follow-up attempts are possible. No further information is expected.; Reporter''s Comments: Ischemic event is suspected a few hours after the vaccination, the patient probably spent 3 days sitting in his armchair.; Reported Cause(s) of Death: death


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