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This is VAERS ID 1209281

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1209281
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Asthma

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-01
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: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021389879

Write-up: died 4 days after vaccination, external signs appeared to resemble an asthma attack/ breathless after gasping for breath; This is a spontaneous report from a contactable consumer (patient''s relative) based on information received by Pfizer from Biontech (manufacturer control number 33034), license party for Comirnaty. A 67-year-old patient of unspecified gender received BNT162B2 (COMIRNATY, lot number not provided), on unspecified date at single dose for COVID-19 immunisation. The patient''s medical history included ongoing asthma. The patient''s concomitant medications were not reported. It was reported that the week of the present report (Apr2021) a relative of reporter (patient) with asthma died 4 days after COVID-19 vaccination by Biontech/Pfizer vaccine. The exact cause of death was unclear until autopsy was done, but external signs appeared to resemble an asthma attack. The person became breathless after gasping for breath and he/she could not be resuscitated. The patient died on unspecified date in Apr2021. It was unknown if autopsy was performed. The outcome of the event was fatal. Information about lot/batch number has been requested.; Reported Cause(s) of Death: died 4 days after vaccination, external signs appeared to resemble an asthma attack/ breathless after gasping for breath

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