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This is VAERS ID 1200635

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1200635
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-20
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET3620-12-041 / 2 RA / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute coronary syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ITPFIZER INC2021380042

Write-up: Acute coronary syndrome; This is a spontaneous report downloaded from the regulatory authority (Regulatory Authority report number: IT-MINISAL02-709770). A contactable physician (contactable through Regulatory Authority only) reported that a 97-year-old female patient received the second dose of BNT162B2 (COMIRNATY, Lot number: ET3620-12-041; Expiration date was not reported), intramuscularly on the right arm on 20Mar2021 (14:23) as a single dose, for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (COMIRNATY, Lot number and expiration date were not reported) on an unspecified date for COVID-19 immunization. On 25Mar2021, the patient had acute coronary syndrome. The patient was not a heart patient and had no major medical conditions. The patient had died on 25Mar2021 due to acute coronary syndrome. It was unknown if an autopsy was performed. No follow-up attempts are possible. No further information is expected. Lot number was already provided.; Reporter''s Comments: The patient was given the second dose of Comirnaty Vaccine on 20Mar2021. On 25Mar2021 she died of acute coronary syndrome. the patient was not a heart patient and had no major medical conditions.; Reported Cause(s) of Death: acute coronary syndrome

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