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This is VAERS ID 1161734

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1161734
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4242 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Fall, Face injury, Haemorrhage

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: Medical History/Concurrent Conditions: Dementia; Heart failure (heart failure with incidents of lung congestion); Hypertension; Lung congestion (heart failure with incidents of lung congestion); Osteoporosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ILPFIZER INC2021330424

Write-up: died at home after a fall and lots of bleeding from the face; fell on the face; died at home after a fall and lots of bleeding from the face; This is a spontaneous report from a contactable other healthcare professional received from Agency Regulatory Authority. An 85-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on an unspecified date (Lot Number: EK4242) as single dose for covid-19 immunisation. Medical history included hypertension, heart failure with incidents of lung congestion, osteoporosis and dementia, all from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient died at home after a fall and lots of bleeding from the face on an unspecified date. Clinical course was reported as follows. The patient went to sleep without any complaint. In the course of the night, she got up from her bed, did not speak and did not complain and then immediately fell on the face. She got injured and bled a lot from the face. Emergency services was called. The family attempted to resuscitate until the ambulance arrived. When the emergency service arrived the resuscitation continued but unsuccessfully. 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.; Reported Cause(s) of Death: fell on the face; died at home after a fall and lots of bleeding from the face; died at home after a fall and lots of bleeding from the face

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