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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1377395

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Case Details

VAERS ID: 1377395 (history)  
Form: Version 2.0  
Sex: Male  
Location: Foreign  
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021617743

Write-up: Myocardial infarction; This is a spontaneous report received from a contactable physician from the Agency Regulatory Authority. The regulatory authority report number is GB-MHRA-ADR 25354584. A 74-year old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), intramuscularly on 23Jan2021 (Batch/Lot number was not reported) at 0.3 ml single for covid-19 immunisation. Relevant medical history and concomitant medications were not reported. The patient experienced myocardial infarction on 29Jan2021 which led to patient''s death on the same date. An autopsy was not performed. No follow-up attempts possible. No further information expected. Lot/Batch number cannot be obtained.; Reported Cause(s) of Death: Myocardial infarction

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