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

This is VAERS ID 1298626

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Case Details

VAERS ID: 1298626 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-14
   Days after onset: 0
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: NOPFIZER INC2021491348

Write-up: DEATH; This is a spontaneous report from a non-contactable consumer downloaded from the regulatory authority-WEB, regulatory authority number NO-NOMAADVRE-PASRAPP-2021-Uyjy34. A 71-year-old female patient received first dose of bnt162b2 (COMIRNATY), intramuscular, administered in Arm Left on 06Apr2021 13:00 (Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. On 14Apr2021 patient died, cause of death was unknown. It was not reported if an autopsy was performed. The reactions/case was considered to be Serious due to Death. No more information is available regarding this case. Sender Comment: This report was submitted by the daughter (BLINDED) of patient. No follow-up attempts are possible, information about batch number cannot be obtained.; Reported Cause(s) of Death: DEATH


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