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

This is VAERS ID 1176131



Case Details

VAERS ID: 1176131 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-03-27
Onset:2021-03-31
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-31
   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: Toradol Omeprazole Viagra
Current Illness: None
Preexisting Conditions: Obesity Prostate Cancer Tobacco Use Mild Sleep Apnea History of Bladder Cancer
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient died.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1176131

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