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This is VAERS ID 1381535

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1381535
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-05-07
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Concomitant disease progression

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AUPFIZER INC2021631622

Write-up: Concomitant disease progression; This is a spontaneous report from a contactable healthcare professional via the Regulatory Authority. Regulatory authority number 557262. A 68 years old female patient received BNT162B2 (COMIRNATY) on an unknown date, at single dose, for COVID-19 immunisation. Medical history and concomitant medications were not reported. It was unknown if she was pregnant. On 07May2021 the patient experienced concomitant disease progression (no further details provided). The patient died on an unspecified date in 2021 due to concomitant disease progression. It was unknown if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Concomitant disease progression

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