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This is VAERS ID 1202820

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1202820
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-03
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2163 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-07
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': ATPFIZER INC2021380051

Write-up: Myocardial infarction; This is a spontaneous report from a contactable physician downloaded from the regulatory authority, regulatory authority number AT-BASGAGES-2021-20935. A 94-year-old female patient received BNT162B2 (COMIRNATY; lot number: EP2163), intramuscular on 03Mar2021 at single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 07Mar2021, the patient died due to myocardial infarction. It was not reported if an autopsy was performed. Sender Comment: BASGAGES-comment: Follow-up information requested. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Myocardial infarction

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