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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1298233

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Case Details

VAERS ID: 1298233 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-19
Onset:2021-03-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NOT AVAILABLE / 1 RA / OT

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Enuresis, Haematology test, Intestinal obstruction, Investigation, Oral candidiasis, Platelet count, Pneumonia, Pulmonary embolism, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Gastrointestinal obstruction (narrow), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: haematochemical analysis; Result Unstructured Data: Test Result:with particular reference to blood count with plat; Comments: with particular reference to blood count with platelet count and trend of the parameters of the coagulation; Test Name: Impact on quality of life; Result Unstructured Data: Test Result:unknown result; Test Name: platelet count; Result Unstructured Data: Test Result:unknown result; Test Name: SARS-Cov2 swab; Result Unstructured Data: Test Result:10/10
CDC Split Type: ITPFIZER INC2021483955

Write-up: Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; This is a spontaneous report from a contactable consumer downloaded from the regulatory authority, regulatory authority number IT-MINISAL02-720585. An 83-year-old female patient received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in deltoid right on 19Mar2021 (Batch/Lot Number: not available) as a single dose for SARS-CoV-2 vaccination. The patient''s medical history and concomitant medications were not reported. The patient experienced fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death. The event onset date was reported as 20Mar2021. Additional information: clinical report of the case, with detailed medical history (anamnestic information with particular reference to previous or concomitant pathologies, previous and concomitant therapies) haematochemical analysis with particular reference to blood count with platelet count and trend of the parameters of the coagulation and SARS-Cov2 swab and outcome of any autopsy examination.- Action taken - Medical examination by general practitioner, hospitalization - Impact on quality of life (10/10). The outcome of the events was fatal. The patient died on an unspecified date. 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: Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, death; Fever, asthenia, anorexia, thrush, enuresis, intestinal blockage, bilateral interstitial pneumonia, pulmonary embolism, dea


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