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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1427484

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Case Details

VAERS ID: 1427484 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC2473 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-06-05
   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: Alcoholism (Alcoholism)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ATPFIZER INC2021728598

Write-up: unclear death (presumably myocardial infarction), judicial med. Autopsy requested. Result not known to date; unclear death (presumably myocardial infarction), judicial med. Autopsy requested. Result not known to date; This is a spontaneous report from a contactable physician downloaded from an Agency -WEB, regulatory authority number AT-BASGAGES-2021-31739. A 58-years-old male patient received bnt162b2 (COMIRNATY, Solution for injection), dose 1 via an unspecified route of administration on 04Jun2021 (Batch/Lot Number: FC2473) as dose 1, single for covid-19 immunization. Medical history included ongoing alcoholism. The patient''s concomitant medications were not reported. On 05Jun2021, the patient had myocardial infarction and death. It was reported that "unclear death (presumably myocardial infarction), judicial med. Autopsy requested. Result not known to date". Both events resulted in death. An autopsy was performed, and results were not provided. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: unknown


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