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This is VAERS ID 1298234

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1298234
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-13
Onset:2021-04-14
Submitted:0000-00-00
Entered:2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW2246 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-22
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: Medical History/Concurrent Conditions: COPD; Diabetes; Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ITPFIZER INC2021491296

Write-up: the patient in good health despite the risk factors received vaccination with 1 dose pfizer on 13apr21. after 24 hours he presented high fever and deep astenia. he died on 22apr21; the patient in good health despite the risk factors received vaccination with 1 dose pfizer on 13apr21. after 24 hours he presented high fever and deep astenia. he died on 22apr21; After about 24 hours he developed fever, myalgia and asthenia. He passed away on 22Apr2021; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB, regulatory authority number IT-MINISAL02-720604. A 78-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via intramuscular route in left deltoid on 13Apr2021 11:00 (Batch/Lot Number: EW2246) as single dose for covid-19 immunisation. Medical history included chronic obstructive pulmonary disease from an unknown date and unknown if ongoing, diabetes mellitus from 14Apr2021 to 22Apr2021, hypertension from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced pyrexia, asthenia and myalgia on 14Apr2021. The events were fatal and were described as the patient in good health despite the risk factors received vaccination with 1 dose Pfizer on 13Apr21. After 24 hours he presented high fever and deep asthenia. The patient died on 22Apr2021. It was not reported if an autopsy was performed. The outcome of the events was reported as fatal. Reporter''s comment: The 78-year-old patient with diabetes, hypertension and BPCO in good compensation received 1 dose of anti-covid Pfizer vaccine on 13Apr2021. After about 24 hours he developed fever, myalgia and asthenia. He passed away on 22Apr2021.; Reporter''s Comments: The 78-year-old patient with diabetes, hypertension and BPCO in good compensation received 1 dose of anti covid Pfizer vaccine on 13Apr2021. After about 24 hours he developed fever, myalgia and asthenia. He passed away on 22Apr2021.; Reported Cause(s) of Death: the patient in good health despite the risk factors received vaccination with 1 dose pfizer on 13apr21. after 24 hours he presented high fever and deep astenia. he died on 22apr21; the patient in good health despite the risk factors received vaccinat

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