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This is VAERS ID 1213640

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1213640
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-03-22
Onset:2021-03-30
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2659 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute myocardial infarction, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-30
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: Hypertension
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Heart failure; Nausea; Vomiting
Allergies:
Diagnostic Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:high
CDC 'Split Type': DEPFIZER INC2021389404

Write-up: Acute myocardial infarction/Infarct myocardial; This is a spontaneous report from a non-contactable consumer downloaded from the Agency Regulatory Authority-WEB, regulatory authority number DE-PEI-CADR2021042553. A 80-year-old male patient received BNT162B2 (COMIRNATY, mRNA TOZINAMERAN), intramuscular on 22Mar2021 (Batch/Lot Number: ER2659) as 0.3 mL, single dose for COVID-19 immunisation. Medical history included ongoing hypertension, high blood pressure, nausea with vomiting and heart failure factors or previous illnesses from unspecified dates. There were no concomitant medications. The patient experienced acute myocardial infarction/infarct myocardial on 30Mar2021. The patient died on 30Mar2021. The patient''s outcome was fatal for acute myocardial infarction. It was not reported if an autopsy was performed. This report is serious - death. Sender Comment (verbatim): Are you or the person concerned known of any allergies? If yes, which? No. Information on risk factors or previous illnesses High blood pressure / nausea with vomiting, heart failure No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Acute myocardial infarction/Infarct myocardial

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