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

This is VAERS ID 1165272



Case Details

VAERS ID: 1165272 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-25
Onset:2021-03-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP9598 / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-01
   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: PAMOL; ENALAPRIL; GABAMED [GABAPENTIN]; IRON; BETNOVAT [BETAMETHASONE]; XAGRID; CALCIUM & VITAMIN D [CALCIUM;COLECALCIFEROL]
Current Illness: Polycythaemia vera; Smoker''s lung (The patient is also a smoker.)
Preexisting Conditions: Medical History/Concurrent Conditions: Blood disorder; Hypertension; Pain; Wound treatment
Allergies:
Diagnostic Lab Data:
CDC Split Type: DKPFIZER INC2021340785

Write-up: patient found dead 04Mar2021; This is a spontaneous report downloaded from the Regulatory Authority-WEB DK-DKMA-WBS-0049767. The case was received from a contactable physician via Medicines Agency (MA). A 66-year-old female patient received bnt162b2 (COMIRNATY), First dose intramuscular on 25Feb2021 (Batch/Lot Number: ep9598) as SINGLE DOSE for covid-19 immunisation. Medical history included polycythaemia vera and Smoker''s lung (The patient is also a smoker) both ongoing; pain, blood disorder, hypertension and wound treatment from an unknown date and unknown if ongoing. There is no information regarding past medication. Concomitant medications included paracetamol (PAMOL) taken for pain from 15Jun2018 to an unspecified stop date; enalapril (ENALAPRIL) taken for hypertension from 23Oct2020 to an unspecified stop date; gabapentin (GABAMED [GABAPENTIN]) taken for pain from 04Sep2018 to an unspecified stop date; iron (IRON) taken for mineral supplementation from 15Oct2020 to an unspecified stop date; betamethasone (BETNOVAT [BETAMETHASONE]) taken for wound treatment from 31May2018 to an unspecified stop date; anagrelide hydrochloride (XAGRID) taken for blood disorder from 24Aug2018 to an unspecified stop date; calcium, colecalciferol (CALCIUM & VITAMIN D [CALCIUM;COLECALCIFEROL]) taken for Vitamin D supplementation from 04Mar2019 to an unspecified stop date. On 25Feb2021 the patient was vaccinated with first dose of Comirnaty (Batch number: ep9598) for COVID-19 immunisation. It was reported occurrence of Found dead (patient found dead 04Mar2021). The physician reported the event Found dead to be Fatal. No treatment due to the ADR was reported. The patient died on Mar2021. An autopsy was not performed. Reported cause(es) of death: Polycythaemia vera, Smoker''s lung, found dead. Only inquest was performed. Findings Polycythaemia vera, and Smoker''s lung, time of death is unknown. No post mortem was performed as the authorities were not aware of the vaccination with Comirnaty. Information about inquest and cause of death was received from regulatory authorities, listed as other reporter, from a requested follow-up. There is no information regarding test results. Causality: The physician is unsure about causality between death and vaccination with Comirnaty. The physician is contacted by a caretaker after the patient was found death in patients own home and is later made aware of that the patient was vaccinated with Comirnaty. The patient was not in contact with own physician in relation to vaccination with Comirnaty or death. No follow-up attempts are possible, batch number already obtained.; Reported Cause(s) of Death: Found dead; Polycythaemia vera; Smoker''s lung


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