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This is VAERS ID 1380440

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1380440
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-17
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Epistaxis

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: 27     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Obesity (BMI 30.1)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NLPFIZER INC2021629612

Write-up: waking up every morning with nosebleed since vaccination nose keeps bleeding for a long time; This is a spontaneous report from a contactable consumer from the Agency Regulatory Authority-WEB, regulatory authority number NL-LRB-00548748. A 57-year-old male patient received first dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on 17May2021 as single dose for covid-19 immunisation. Medical history included obesity from an unknown date and unknown if ongoing, BMI 30.1. The patient''s concomitant medications were none and he was perfectly healthy until vaccination. On 18May2021 nosebleed occurred. The patient waking up every morning with nosebleed since vaccination and nose kept bleeding for a long time. Nosebleed was treated with Tissues. The patient was not recovered from nosebleed. The patient was hospitalized for the event and the patient died on an unspecified date. It was not reported if an autopsy was performed. Previous COVID-19 infection: No No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: Epistaxis

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