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

This is VAERS ID 1161872



Case Details

VAERS ID: 1161872 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-02
Onset:2021-03-09
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP9598 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Circulatory collapse, Hypertension, Malaise, Retching, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hypersensitivity (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-09
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COLECALCIFEROL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Dementia; Mitral valve insufficiency
Allergies:
Diagnostic Lab Data: Test Date: 20210309; Test Name: blood pressure; Result Unstructured Data: Test Result:180/120 mmHg; Test Date: 20201222; Test Name: Corona confirmed by test; Test Result: Positive
CDC Split Type: NLPFIZER INC2021333786

Write-up: gagging; Hypertension was diagnosed by care in COs (180/120), after which in the room on the bed, the tension dropped and the pulse remained high, and then died shortly afterwards (around 7 pm).; Not feeling well; vomited; Shortly afterwards she had collapsed in the living room and was not approachable.; This is a spontaneous report from a contactable physician downloaded from the regulatory authority. A 77-year-old female patient received the second dose of BNT162B2 (COMIRNATY, Solution for injection, lot number: EP9598), via an unspecified route of administration on 02Mar2021 at a single dose for COVID-19 immunisation. Medical history included COVID-19 from 22Dec2020 (Corona confirmed by test), mitral valve insufficiency, dementia. Concomitant medications included colecalciferol. The patient previously received the first dose of BNT162B2 (COMIRNATY), on 02Feb2021 for COVID-19 immunisation and experienced no adverse reaction. The patient experienced vomiting (death), not feeling well (death), collapse vascular (death), hypertension (death) on 09Mar2021 following administration of covid-19 vaccine pfizer injection fluid for covid 19 immunisation. It was reported that the patient was gagging around 5:30 pm on 09Mar2021 and had vomited. According to the patient there was nothing wrong. She had walked around the department again. Shortly afterwards she had collapsed in the living room and was not approachable. Hypertension was diagnosed (180/120), after which in the room on the bed, the tension dropped and the pulse remained high, and then died shortly afterwards at around 07:00 pm. The outcome of the events was fatal. The patient died on 09Mar2021. It was not reported if an autopsy was performed. No follow-up attempts are possible. No information is expected. ; Reported Cause(s) of Death: Hypertension was diagnosed by care in COs (180/120), after which in the room on the bed, the tension dropped and the pulse remained high, and then died shortly afterwards (around 7 pm).; Not feeling well; Vomited; Shortly afterwards she had collapsed


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