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This is VAERS ID 1316393

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First Appeared on 7/9/2021

VAERS ID: 1316393
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-29
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET3674 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death, Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-02
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: METFORMIN; FOLAVIT; LORMETAZEPAM; D-CURE; DUOVENT; VALIUM; EZETROL; NEXIAM [ESOMEPRAZOLE SODIUM]; TAMSULOSIN; AMLOR; QUETIAPINE; PARACETAMOL; SOTALOL; CIRCADIN; IRBESARTAN EG; MOXONIDINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Confusion; Fall ((ethyl impregnation context)); Head injury (post fall (ethyl impregnation context); Hepatoma (a post-fall intracerebral hematoma)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEPFIZER INC2021522132

Write-up: Unexpected death the night of 1 to 02May21.; Unexpected death the night of 1 to 02May21.; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB BE-FAMHP-DHH-N2021-90650 A 76-year-old male patient received the second dose of BNT162B2 (COMIRNATY, Batch/lot number: ET3674) on 29Apr2021 at single dose for COVID-19 immunisation. Patient hospitalized for rehabilitation following a post-fall intracerebral hematoma (ethyl impregnation context) dating from 28Mar2021. Confusion already presented before the vaccine. Concomitant drugs included amlodipine besilate (AMLOR), melatonin (CIRCADIN), colecalciferol (D-CURE), ezetimibe (EZETROL), irbesartan (IRBESARTAN Eg), folic acid (FOLAVIT), lormetazepam, metformine, moxonidine, esomeprazole sodium (NEXIAM), paracetamol, quetiapin, sotalol, diazepam (VALIUM), fenoterol hydrobromide, ipratropium bromide (DUOVENT), tamsulosin, and nutritional supplement: Befortex. The patient was found dead in the morning in his bed; died in sleep/sudden death on 02May2021. No treatment was received. No autopsy was scheduled. Reporter''s comments: Not the explanation for the death of this patient, found dead in the morning in his bed. However, he was very confused and bedridden following his head trauma and was starting a revalidation with us. Given his age and general condition, no autopsy was scheduled. Not the feeling that there was a connection to the vaccine. His condition did not worsen after the vaccine and we had no reason to worry the day before he died. Result of assessment: Comirnaty/ Events: Sudden Death, Died in sleep: unclassifiable No follow-up attempts are possible.; Reporter''s Comments: Treatment - No Evolution of the ADR - Death Not the explanation for the death of this patient, found dead in the morning in his bed. However, he was very confused and bedridden following his head trauma and was starting a revalidation with us. Given his age and general condition, no autopsy was scheduled. Not the feeling that there was a connection to the vaccine. His condition did not worsen after the vaccine and we had no reason to worry the day before he died.; Reported Cause(s) of Death: found dead in the morning in his bed

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