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This is VAERS ID 1165559

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1165559
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-01
Onset:2021-03-01
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2166 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Arrhythmia, Echocardiogram, Fatigue, Feeling abnormal, Loss of consciousness, General physical health deterioration, Troponin, Angiogram, N-terminal prohormone brain natriuretic peptide, Magnetic resonance imaging

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: Cardiac failure
Allergies:
Diagnostic Lab Data: Test Name: angiogram; Result Unstructured Data: Test Result:age insults/infarcts; Test Name: Echocardiography; Result Unstructured Data: Test Result:hypokinesia; Comments: possibly increased hypokinesia septally; Test Name: MRI; Result Unstructured Data: Test Result:age insults/infarcts; Test Name: NTproBNP; Result Unstructured Data: Test Result:doubled release; Test Name: Troponin; Result Unstructured Data: Test Result:doubled release
CDC 'Split Type': SEPFIZER INC2021342619

Write-up: possible cause of possible arrhythmia; possible cause of deteriorating general condition; she collapsed; felt a little bad; felt tired; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number SE-MPA-1615363791551. An 84-year-old female patient received bnt162b2 (COMIRNATY), intramuscular on Mar2021 (Batch/Lot Number: EP2166) as SINGLE DOSE for covid-19 immunisation. Medical history included cardiac failure. The patient''s concomitant medications were not reported. In Mar2021, Possible cause of deteriorating general condition and possible arrhythmia was reported. After the vaccination, the patient felt a little bad and felt tired. The next day at 15:00, she collapsed. RLS 8 CPR started, narrow QRS complexes and ROSC (return of spontaneous circulation) are detected after 6min. DT (Diffusion tensor imagining) brain and angio as well as MRI only show age insults/infarcts. Shows a general slowdown. Neurological status improved, at best RLS 4. Echocardiography shows similar picture as before, possibly increased hypokinesia septally. Doubled NTproBNP and Troponin release. Extubated but hypercapne, inability to keep airways clear. The woman passing away about a week after arrival at hospital. It does not appear from the report whether the woman had any other contemporary medicines. The patient underwent lab tests and procedures which included angiogram: age insults/infarcts, echocardiogram: hypokinesia, possibly increased hypokinesia septally, magnetic resonance imaging: age insults/infarcts, n-terminal prohormone brain natriuretic peptide: doubled release, troponin: doubled release. It was not reported if an autopsy was performed. The patient died on an unspecified date. The outcome of the events felt a little bad, felt tired, and collapsed was not unknown. The events possible cause of possible arrhythmia, and possible cause of deteriorating general condition were fatal. No follow-up attempts possible. No further information expected. Information on lot and batch numbers already obtained.; Reported Cause(s) of Death: possible cause of deteriorating general condition; possible cause of possible arrhythmia

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