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This is VAERS ID 1316438

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1316438
VAERS Form:2
Age:47.0
Sex:Female
Location:Foreign
Vaccinated:2021-04-28
Onset:2021-04-29
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Chills, Dizziness, 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:
Current Illness: Arterial hypertension; Coronary disease; Nicotine dependence
Preexisting Conditions: Medical History/Concurrent Conditions: Infarct myocardial
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021522124

Write-up: Death sudden; Light headedness; Chills; General debility; 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-202100056279. A 47-year-old female patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on 28Apr2021 (Batch/Lot number was not reported) at 0.3ml single for COVID-19 immunisation. Medical history included ongoing arterial hypertension, ongoing nicotine dependence, infarct myocardial from Jan2020 to an unknown date, ongoing coronary disease. The patient''s concomitant medications were not reported. On 29Apr2021, the patient experienced general debility, light headedness, chills. On 02May2021, the patient experienced death sudden. It was not reported if an autopsy was performed. The patient''s outcome was fatal for general debility, fatal for light headedness, fatal for chills, fatal for death sudden. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Light headedness; Chills; General debility; Death sudden

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