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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1174449

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Case Details

VAERS ID: 1174449 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-03-23
Onset:2021-03-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP9605 / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood creatinine, Pulmonary embolism, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-24
   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: TRESIBA; NOVORAPID; METFIN; TORASEMIDE SODIUM; COVERAM; CARVEDILOLUM; PRAVASTATINUM NATRICUM; ACIDUM FOLICUM; DAFALGAN; LAITEA; ANTIDRY WASH; ANTIDRY CALM; VOLTAREN [DICLOFENAC SODIUM]; PEVARYL [ECONAZOLE]
Current Illness: Arterial hypertension; Chronic venous insufficiency; Elephantiasis (without resting arterial insufficiency, permeable deep venous system.); Gonarthrosis; Hepatic steatosis; Insulin-requiring type 2 diabetes mellitus; MGUS; Obesity (at 131 kg); Peripheral obliterative arteriopathy
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract; Cholecystectomy; Hepatic steatosis
Allergies:
Diagnostic Lab Data: Test Name: creatinine; Result Unstructured Data: Test Result:92 mmol/L
CDC Split Type: CHPFIZER INC2021357941

Write-up: The Vigilyze database reports 1537 deaths out of 167203 reports under the "Comirnaty" monograph. In light of the literature data, despite the interesting temporal correlation, we consider as "unlikely" the correlation between the administration of Comirnaty and the death of this elderly and polymorbid patient in the absence of objective elements that allow us to exclude other causes. However, this judgment of causality does not completely exclude a role of the vaccine.; Reporter''s Comments: Subsequent death of an old male patient on 24Mar2021, just over 24 hours after the second dose of Comirnaty. No pre-decease symptoms are reported other than the patient was a little more "encumbered". We have no further information on the case, no autopsy or laboratory analysis or additional data on the development of objective symptoms .; Reported Cause(s) of Death: massive pulmonary embolism; died suddenly/suddenly passed away


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