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This is VAERS ID 1225026

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1225026
VAERS Form:2
Age:90.0
Sex:Female
Location:Foreign
Vaccinated:2021-01-22
Onset:2021-02-12
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-12
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 INC2021398833

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-202100032181. A 90-year-old female patient received bnt162b2 (COMIRNATY) via an unspecified route of administration on 22Jan2021 (Lot number was not reported) as 0.3 mL, single for covid-19 immunization at age 90 years old. The patient''s medical history and concomitant medications were not reported. The patient previously received the first dose of COMIRNATY on 31Dec2020 as 0.3 mL, single for COVID-19 immunization at age 90 years old The patient experienced unknown cause of death on 12Feb2021. The patient died on 12Feb2021. An autopsy was not performed. The relatedness of Comirnaty to death was unclassifiable as per PEI. No follow-up attempts are possible. No further information is expected. Batch/lot number cannot be obtained.; Reported Cause(s) of Death: Unknown cause of death

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