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

This is VAERS ID 1172058



Case Details

VAERS ID: 1172058 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:2021-02-23
Onset:2021-02-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Malaise
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-24
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ESPFIZER INC2021342327

Write-up: Malaise; Diarrhea; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (RA), regulatory authority number ES-AEMPS-803210. An 84-year-old patient of an unspecified gender received bnt162b2 (COMIRNATY), via an unspecified route of administration on 23Feb2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 23Feb2021, the patient experienced malaise and diarrhea. The patient died on 24Feb2021. Causes of death were malaise and diarrhea. It was not reported if an autopsy was performed. No follow-up attempts are possible, information on lot/batch number cannot be obtained.; Reported Cause(s) of Death: malaise; diarrhea


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