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This is VAERS ID 1161675

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1161675
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-18
Onset:2021-03-23
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER1741 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-23
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: AMLODIPINE; EDOXABAN; LANSOPRAZOLE; RAMIPRIL; SERTRALINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Breast cancer; Chronic kidney disease stage 3 (3a); Deep vein thrombosis (Reported again in 2019.); Dementia; Hypertension; Pulmonary embolism; Stroke
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021334057

Write-up: Died in sleep; This is a spontaneous report from a contactable physician. This is a report received from the Agency Regulatory Authority. Regulatory authority report number GB-MHRA-WEBCOVID-202103241811231940, Safety Report Unique Identifier GB-MHRA-ADR 25015377. An 88-years-old female patient received BNT162B2 (PFIZER-BIONTECH, COVID-19 MRNA VACCINE), via an unspecified route of administration on 18Mar2021 (Lot Number: ER1741) dose 2, as single dose, for COVID-19 vaccination. Patient has not had symptoms associated with COVID-19, did not have a COVID-19 test, and is not enrolled in clinical trial. Medical history included breast cancer from 2007, hypertension from 2012, dementia from 2018, stroke from 2014, deep vein thrombosis (DVT) from 2012, and reported again in 2019, chronic kidney disease stage 3 (3a) from 2018, pulmonary embolism from 2019. Concomitant medications included amlodipine, edoxaban, lansoprazole, ramipril and sertraline, all taken for an unspecified indication, start and stop date were not reported. The patient died in sleep on 23Mar2021, five days post vaccination. It was not reported if an autopsy was performed. Patient had not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Died in sleep

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