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This is VAERS ID 1298558

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1298558
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-10
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW2243 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Cardiac arrest, Death, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-16
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: NEBILET; PRESTARIUM [PERINDOPRIL]; FLOSIN [TAMSULOSIN HYDROCHLORIDE]; ATORVASTATIN; THROMBO ASS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': LTPFIZER INC2021483576

Write-up: Death; Cardiac arrest of unknown origin; Feeling unwell; Weakness; This is a spontaneous report from a contactable consumer or other non hcp downloaded from the Regulatory Authority-WEB, regulatory authority number LT-SMCA-4080. A 55-years-old male patient received first dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on 10Apr2021 (Batch/Lot Number: EW2243) as SINGLE DOSE for covid-19 immunization. The patient''s medical history was not reported. Concomitant medication(s) included nebivolol hydrochloride (NEBILET) taken for an unspecified indication, start and stop date were not reported; perindopril (PRESTARIUM [PERINDOPRIL]) taken for an unspecified indication, start and stop date were not reported; tamsulosin hydrochloride (FLOSIN [TAMSULOSIN HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported; atorvastatin (ATORVASTATIN) taken for an unspecified indication, start and stop date were not reported; acetylsalicylic acid (THROMBO ASS) taken for an unspecified indication, start and stop date were not reported. The patient''s death was on on 16Apr2021. Patient was feeling unwell on 12Apr2021, weakness on 10Apr2021 and cardiac arrest of unknown origin on 16Apr2021. It was reported that After vaccination the patient complained weakness. On 12Apr2021 the patient felt unwell. On Thursday (15Apr2021) it was difficult for him to climb the stairs to the third floor. On Friday (16Apr2021) he went to work. About 13:30h he felt unwell and died before arrived the ambulance. The autopsy was performed. The cause of death - cardiac arrest of unknown origin. Seriousness criteria was reported as Fatal for all the events. The patient died on 16Apr2021. An autopsy was performed and results were not provided. No further information was provided.; Reported Cause(s) of Death: Cardiac arrest of unknown origin

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