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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1202940

Case Details

VAERS ID: 1202940 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-01
   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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Metastatic uterine cancer
Diagnostic Lab Data:
CDC Split Type: SEPFIZER INC2021380320

Write-up: Death; This is a spontaneous report from a contactable physician downloaded from the regulatory authority, regulatory authority number SE-MPA-2021-021283. Other case identifier number SE-MPA-1616072349251. An 83-year-old female patient received bnt162b2 (COMIRNATY), dose 1 intramuscular in Mar2021 (Batch/Lot Number: EP 2166) as 0.3 mL, single for COVID-19 immunization. Medical history included metastatic uterine cancer with unspecified localization. There were no concomitant medications. The patient died in Mar2021 at home, seven days after her first dose of Comirnaty. It was unknown if an autopsy was performed. Outcome: Fatal. Report assessed as serious, death. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Death

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