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

This is VAERS ID 1224923



Case Details

VAERS ID: 1224923 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Death, Malaise, Oropharyngeal discomfort
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-09
   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: Hypertension (has a history of psoriasis and HTN); Pacemaker insertion (cardiac) (He recently had a pacemaker implanted several months ago); Psoriasis (has a history of psoriasis and HTN)
Allergies:
Diagnostic Lab Data: Test Name: BP; Result Unstructured Data: Test Result:150/90
CDC Split Type: USPFIZER INC2021392788

Write-up: My uncle died three days after taking the vaccine; he felt strange and he felt like something was in his throat; he felt like he wasn''t doing well; This is a spontaneous report from a contactable nurse reporting for her uncle. A 73-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 06Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation . Medical history included psoriasis , cardiac pacemaker insertion on an unknown date (He recently had a pacemaker implanted several months ago) , hypertension from an unknown date. The patient died three days after taking the vaccine on 09Apr2021 , he felt strange and he felt like something was in his throat on 09Apr2021 with outcome of unknown. The patient underwent lab tests and procedures which included blood pressure measurement: 150/90 on 09Apr2021. It was not reported if an autopsy was performed. Course of the event: The reporter''s uncle died three days after taking the vaccine. He was at home getting ready to watch a basketball game with the reporter''s aunt when he began to complain that he felt strange and he felt like something was in his throat. Both the patient and the reporter''s aunt are also RN''s. My aunt checked his BP and the first time it was 150/90. His BP was taken a second time but the reporter cannot remember what the 2nd reading was. He then said he was going to the bathroom and asked her to call # because he felt like he wasn''t doing well. The reporter''s aunt called #, and assisted the reporter''s uncle to lay down in bed. She remained on the phone with #who arrived at the scene shortly thereafter. They performed CPR at the scene and he was transported to the hospital. The reporter believes the patient was pronounced dead at home. The patient was about 5"10, heavy set stature. He recently had a pacemaker implanted several months ago and has a history of psoriasis and HTN. There is additional concomitant medical history I will have to confirm. Information about lot/batch has been requested.; Sender''s Comments: The information available in this report is limited and does not allow a medically meaningful assessment for the reported patient''s sudden death. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: My uncle died three days after taking the vaccine


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