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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1298153

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Case Details

VAERS ID: 1298153 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-22
Onset:2021-01-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Death, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-25
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE; GALFER; MOVICOL [MACROGOL 3350;POTASSIUM CHLORIDE;SODIUM BICARBONATE;SODIUM CHLORIDE]; SINEMET; MIRTAZAPINE; OLANZAPINE; SINEMET; ZOPICLONE; MADOPAR; ESCITALOPRAM; EXELON [RIVASTIGMINE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anaemia (Severe anaemia); Dementia; Parkinson''s disease
Allergies:
Diagnostic Lab Data: Test Date: 20210124; Test Name: Body temperature; Result Unstructured Data: Test Result:37.8 Centigrade
CDC Split Type: IEPFIZER INC2021151590

Write-up: Unknown cause of death; Low grade pyrexia; This is a spontaneous report from a contactable other healthcare professional downloaded from the Agency Regulatory Authority-WEB. Regulatory authority report number [IE-HPRA-2021-064078], Safety Report Unique Identifier [IE-HPRA-2021-064078]. A 86-year-old female patient received BNT162B2 (COMIRNATY, solution for injection, lot number: EM0477), via an unspecified route of administration on 22Jan2021 as single dose for COVID-19 immunization. Medical history included anaemia (severe anaemia), Parkinson''s disease and dementia. Concomitant medications pantoprazole 40 mg once daily, ferrous fumarate (GALFER) 305 mg, macrogol 3350, potassium chloride, sodium bicarbonate, sodium chloride (MOVICOL [MACROGOL 3350; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE]) once daily, mirtazapine 15 mg, olanzapine, 2.5 mg once daily, carbidopa, levodopa (SINEMET) once daily (200/50 mg), zopiclone oral 7.5 mg, once daily (At night), benserazide hydrochloride, levodopa (MADOPAR) once daily, escitalopram 10 mg once daily, rivastigmine (EXELON [RIVASTIGMINE]) all for unknown indication, carbidopa, levodopa (SINEMET) (150/37.5) thrice daily taken for Parkinson''s disease. On 24Jan2021, patient experienced low grade pyrexia with a body temperature of 37.8 centigrade. Patient was recovered with low grade pyrexia within 2 hrs on 24Jan2021. The patient died on 25Jan2021. Cause of death was unknown (general progressive decline). It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected; Reported Cause(s) of Death: Unknown cause of death


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