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This is VAERS ID 1304539

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1304539
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-03-19
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2166 / UNK LA / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-10
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: ACETYLSALICYLIC ACID
Current Illness: Myocardial infarction; Stenosis aortic valve
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': HUPFIZER INC2021480833

Write-up: death; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB. The regulatory authority number is HU-OGYI-228821. An 86-year-old male patient received BNT162B2 (COMIRNATY; Lot Number: EP2166), intramuscular in the left arm on 19Mar2021 as 0.3 mL, single for covid-19 immunisation. Medical history included ongoing myocardial infarction and ongoing aortic valve stenosis from unknown dates. Concomitant medication included acetylsalicylic acid (MANUFACTURER UNKNOWN) taken for an unspecified indication, start and stop date were not reported. The patient experienced death on 10Apr2021. The patient died on 10Apr2021. An autopsy was performed and results were not provided. An autopsy was performed and results were not provided. In the opinion of the patients physician, the death was not related to the vaccination. Sender Comment: The patient died 22 days after vaccination. Death is not expected adverse event of COMIRNATY. It might be related to the patient''s chronic cardiovascular diseases. Based on the above, and in lack of detailed medical information, relationship between death and COMIRNATY is not assessable. The case is serious because the patient died. No further information is expected. Follow-up attempts are completed. No further information is expected.; Reported Cause(s) of Death: unknown cause of death

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