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This is VAERS ID 1380444

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1380444
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-08
Onset:2021-05-09
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Chest discomfort, Hyperventilation, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-10
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NLPFIZER INC2021627706

Write-up: Cardiac arrest; Feeling unwell; Chest pressure; Hyperventilation; This is a spontaneous report from a contactable consumer or other non-healthcare professional downloaded from the Agency Regulatory Authority-WEB, regulatory authority number NL-LRB-00556173. A 75-year-old male patient received bnt162b2 (COMIRNATY, Formulation: Solution for injection, Batch/Lot Number and expiration date not reported), second dose via an unspecified route of administration on 08May2021 as 2nd dose, 0.3 ml single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received bnt162b2 (COMIRNATY, Formulation: Solution for injection), first dose via an unspecified route of administration on an unspecified date (Batch/Lot Number: Unknown) as single dose for COVID-19 immunisation. The patient did not have COVID-19 prior to vaccination. The patient experienced on 09May2021 (1 day after 2nd vaccination) chest pressure and hyperventilation. On 10May2021 (2 days after vaccination), had malaise and the patient had cardiac arrest resulted in death 2nd day following administration of COVID-19 vaccine Pfizer injection fluid. Chest pressure was treated with breathing exercises, hyperventilation was treated with breathing exercises and malaise was treated with breathing exercises. The reporter assessed the case as serious. It was not reported if an autopsy was performed. The outcome of chest pressure, hyperventilation and malaise was unknown, and for cardiac arrest fatal on 10May2021. Reporter Comment: Hyperventilation chest pressure, Additional information adverse drug reaction: Day after 2nd vaccination, Citizen service number available: yes, Previous COVID-19 infection: No, diagnostic procedures: N/A Reporting party Comment: I find it annoying that when I report that my father has died, questions are asked again about side effects when you have died, only the next of kin have any side effects, very much sadness and anger from disbelief, I miss daddy. No follow-up attempts possible. No further information expected. Batch/LOT number cannot be obtained.; Reported Cause(s) of Death: Cardiac arrest

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