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This is VAERS ID 1316423

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1316423
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Drug ineffective, Renal disorder, Infarction, COVID-19

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CRPFIZER INC2021523445

Write-up: COVID-19; COVID-19; Infarction; Renal damage; This is a spontaneous report from a non-contactable consumer. A elderly male patient of unknown age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history and patient''s concomitant medications were not reported. The patient received the vaccine and subsequently presented Covid 19 and he was hospitalized in intensive care. The patient only received the first dose. The patient who was hospitalized in the ICU who had received the first dose of the vaccine against COVID19 passed away, apparently the patient had renal damage and an infarction. Patient died on an unspecified date, it was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. ; Reported Cause(s) of Death: Renal damage; infarction; COVID-19; COVID-19

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