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This is VAERS ID 1304020

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First Appeared on 7/9/2021

VAERS ID: 1304020
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW8904 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Mesenteric vein thrombosis, Mesenteric vascular occlusion

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Allergies:
Diagnostic Lab Data: Test Name: CT abdomen; Result Unstructured Data: Test Result:ntraoperative findings
CDC 'Split Type': DEPFIZER INC2021491368

Write-up: Mesenteric vascular occlusion; Mesenteric vein thrombosis; This is a spontaneous report from a non-contactable physician downloaded from the regulatory authority, company number DE-PEI-202100049001. A 78-year-old female patient received bnt162b2 (COMIRNATY), via an unspecified route of administration on 08Apr2021 (Batch/Lot Number: EW8904) as 0.3 mL, single for covid-19 immunization. The patient''s medical history was not reported. The patient has no concomitant medications. On 11Apr2021, the patient experienced mesenteric vascular occlusion and mesenteric vein thrombosis on 11Apr2021. It was reported that the patient had CT abdomen on an unknown date with intraoperative findings. The outcome of the events was fatal as the patient died due the events on an unspecified date. It was not reported if an autopsy was performed Reporter''s comments: "CT abdomen, intraoperative findings." Causal relationship between the adverse event(s) and the administration of Comirnaty was assessed as unclassifiable by the regulatory authority. No follow-up attempts needed/possible, follow-up automatically provided by regulatory authority; Reporter''s Comments: CT-Abdomen; Reported Cause(s) of Death: Mesenteric vascular occlusion; Mesenteric vein thrombosis

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