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This is VAERS ID 1225024

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1225024
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-05
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-24
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021398831

Write-up: Unknown cause of death; This is a spontaneous report from a non-contactable physician downloaded from a regulatory authority-WEB, regulatory authority number DE-PEI-202100032179. A 90-year-old female patient received the second dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on 05Mar2021 at a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took the first dose of COMIRNATY on 12Feb2021 at 0.3 ml for COVID-19 immunization. The patient experienced unknown cause of death on 24Mar2021. The patient died on 24Mar2021. An autopsy was not performed. Relatedness of drug to reaction/event: Unclassifiable Information on the lot/batch number has been requested.; Reported Cause(s) of Death: Unknown cause of death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1225024&WAYBACKHISTORY=ON

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