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

This is VAERS ID 1213587



Case Details

VAERS ID: 1213587 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Death, Diarrhoea, Pyrexia, SARS-CoV-2 antibody test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (with an antibody level of 145)
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 antibody; Result Unstructured Data: Test Result:145
CDC Split Type: BEPFIZER INC2021400096

Write-up: she had diarrhea and fever before dying; diarrhea; fever; This is a spontaneous report from a contactable physician via Medical Information. An 80-year-old female patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as SINGLE DOSE for COVID-19 immunisation. Medical history included COVID-19 infection from an unknown date and unknown if ongoing with an antibody level of 145. The patient''s concomitant medications were not reported. The patient experienced she had diarrhea and fever before dying on an unspecified date. The patient underwent lab tests and procedures which included COVID-19 test: 145 on an unspecified date. The patient died on an unspecified date. It was not reported if an autopsy was performed. The outcome of diarrhea and fever was unknown. Information on the lot/batch number has been requested.; Reported Cause(s) of Death: she had diarrhea and fever before dying


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