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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||- / UNK||- / -|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': CRPFIZER INC2021359751
Write-up: Patient died on 10Mar2021; This is a spontaneous report from a non-contactable consumer by regulatory authority. An 84-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), via an unspecified route of administration on 18Feb2021 at single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. On 10Mar2021, the patient died. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected, it is not possible to obtain information about lot/batch number.; Reported Cause(s) of Death: Patient died
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