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

This is VAERS ID 1226608



Case Details

VAERS ID: 1226608 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-31
Onset:2021-03-31
   Days after vaccination:0
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: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021393990

Write-up: Dyspnoea; This is a spontaneous report from a contactable physician. This report is received from the regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202104081152037820. A female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 31Mar2021 as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient is not enrolled in clinical trial.The patient experienced dyspnoea on 31Mar2021. The patient died on an unspecified date. The cause of death was dyspnea. An autopsy was not performed. Clinical course was reported as follows: patient received vaccine with no acute side effects on 31Mar2021. Observed for at least 90 minutes at the hub by staff including GP (prolonged wait as waiting for transport), during which time was alert and not in extremis. Reported to be breathless at home over 4 hours after vaccine administration (reported to her family who were unable to respond at the time). Found unresponsive at home the following morning 01Apr2021. CPR through paramedics unsuccessful. Currently awaiting post mortem report to detail cause of death.; Reported Cause(s) of Death: dyspnoea


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