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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||ET3045 / 2||- / -|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Current Illness: Parkinson''s disease
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021522129
Write-up: Unknown cause of death; This is a spontaneous report received from a non-contactable physician downloaded from the regulatory authority-WEB. The regulatory authority report number is DE-PEI-202100055353. An 81-year-old male patient received 2nd dose of BNT162B2 (COMIRNATY, lot number ET3045) at 0.3 ml single dose on 22Apr2021 for COVID-19 immunisation. Medical history and concurrent conditions included Parkinson''s disease. Concomitant drug was not provided. Historical vaccine included 1st dose of BNT162B2 (COMIRNATY) at 0.3 ml single dose on 25Mar2021 for COVID-19 immunisation. On 27Apr2021 the patient experienced unknown cause of death. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: unknown cause of death
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