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This is VAERS ID 1161672

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First Appeared on 6/25/2021

VAERS ID: 1161672
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-18
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NOT KNOWN / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Aspiration, Seizure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-22
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: CLOPIDOGREL; LEVOTHYROXINE; RAMIPRIL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation; Dementia (lewy body dementia); Hypertension; Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021334187

Write-up: Aspiration; Seizures; This is a spontaneous report from a contactable physician received from the Agency Regulatory authority (RA). Regulatory authority report number is GB-MHRA-WEBCOVID-202103241113075810, Safety Report Unique Identifier is GB-MHRA-ADR 25011905. A 91-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: not known, expiry date not reported), via an unspecified route of administration on 18Mar2021 at single dose for COVID-19 immunization. Medical history included dementia (Lewy body dementia), hypertension, atrial fibrillation, and hypothyroidism, all from an unknown date and unknown if ongoing. Patient has not had symptoms associated with COVID-19. Patient has not had a COVID-19 test. Patient is not enrolled in clinical trial. Patient has not tested positive for COVID-19 since having the vaccine. Concomitant medications included clopidogrel taken for atrial fibrillation, levothyroxine taken for hypothyroidism, and ramipril taken for hypertension. The patient experienced seizures on 19Mar2021, and aspiration on 22Mar2021. It was reported that 24 hours after vaccine, prolonged seizures started from which she never recovered, felt that she aspirated and died on 22Mar2021 due to the events. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Aspiration; Seizure

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