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This is VAERS ID 1165294

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1165294
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-01-22
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Body mass index, Peripheral ischaemia, Ischaemic stroke

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-10
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anticoagulant therapy
Allergies:
Diagnostic Lab Data: Test Name: BMI; Result Unstructured Data: Test Result:24
CDC 'Split Type': FRPFIZER INC2021342459

Write-up: Acute limb ischemia/acute ischemia of the 2 legs; Ischemic stroke/left sylvian cerebrovascular accident; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number FR-AFSSAPS-MP20210608. A 75-year-old male patient received the first dose of bnt162b2 (COMIRNATY, lot number: EM0477), intramuscular, administered in arm left on 22Jan2021 as single dose for covid-19 immunisation. The patient medical history included that he was on well-balanced anticoagulation. The patient''s concomitant medications were not reported. On 26Jan2021, the patient experienced acute ischemia of the 2 legs (appearance of thrombus in the 2 legs)/ acute limb ischemia and left sylvian cerebrovascular accident/ischemic stroke. The events led to patient''s hospitalization. The duration of effects was 15 days. The outcome of the events was fatal. Cause of death was acute ischemia of the 2 legs (appearance of thrombus in the 2 legs)/ acute limb ischemia and left sylvian cerebrovascular accident/ischemic stroke. The patient died on 10Feb2021. It was unknown if the an autopsy was performed. The patient underwent lab tests and procedures which included body mass index: 24 on an unspecified date. NB: Accountability made without prejudice to the elements of investigations which could be carried out within the framework of legal or amicable compensation procedures. Regulatory Authority no 84/50, Acute limb ischemia, Ischemic stroke /start date 26jan2021/ stop date 10Feb2021/outcome fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Ischemic stroke/left sylvian cerebrovascular accident; Acute limb ischemia/acute ischemia of the 2 legs

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