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

This is VAERS ID 1187220



Case Details

VAERS ID: 1187220 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-28
Onset:2021-03-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NOT KNOWN / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Neoplasm (Recently had treatment for cancer, leukaemia or lymphoma (radiotherapy or chemotherapy)); Radiotherapy (6 years ago tumours almost non existent)
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021367208

Write-up: Cardiac arrest; This is a spontaneous report from a contactable consumer. This is a report received from the Regulatory authority. Regulatory authority report number GB-MHRA-WEBCOVID-202104022218598930, Safety Report Unique Identifier GB-MHRA-ADR 25074311. A 67-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number not reported) via unspecified route of administration at single dose on 28Mar2021 at 67 years old for COVID-19 immunisation. Medical history included radiotherapy (6 years ago tumours almost non existent), neoplasm (recently had treatment for cancer, leukaemia or lymphoma (radiotherapy or chemotherapy)). The patient''s concomitant medications were not reported. The patient experienced cardiac arrest on 29Mar2021. The patient died on an unspecified date. It was not reported if an autopsy was performed. The clinical course was reported as follows: Within 24 hours of 2nd Pfizer vaccine, cardiac arrest, CPR given on bedroom floor, called 999, air ambulance to hospital Resus. On oxygen for 24 hrs, consultant asked for DNR.. Responsive 24 hrs later eyes opening for seconds and trying to speak. 24 hrs later able to speak slightly. 24 hrs later patient was pronounced dead. Patient had not tested positive for COVID-19 since having the vaccine. Patient had not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient was not enrolled in clinical trial. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Cardiac arrest


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