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

This is VAERS ID 1428701

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Case Details

VAERS ID: 1428701 (history)  
Form: Version 2.0  
Sex: Male  
Location: Foreign  
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Generalised tonic-clonic seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-23
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Dementia; Diabetes mellitus; Hypoacusis
Preexisting Conditions: Medical History/Concurrent Conditions: Epileptic seizure
Diagnostic Lab Data:
CDC Split Type: HUPFIZER INC2021681660

Write-up: GM seizures; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number is HU-OGYI-384721. A 76-year-old male patient received BNT162B2 (COMIRNATY, solution for injection), intramuscular, administered in left arm on 01May2021 (Batch/Lot Number: EX6537) as dose 2, 0.3mL, single for COVID-19 immunisation. Medical history included diabetes mellitus, hypoacusis and dementia. He was nursed at his home for several years. He was also treated on neurology in 2020. September due to suspected epileptic seizure. The patient''s concomitant medications were not reported. The patient previously took BNT162B2 (COMIRNATY, solution for injection), dose 1 (Batch/Lot Number: ET7205) for COVID-19 immunisation. On 17May2021, the patient had grand mal convulsion (GM seizures). He was submitted to hospital on 17May2021 and died on 23May2021. It was unknown if autopsy was performed. Sender Comment: Grand mal convulsion is not an expected adverse event of COMIRNATY. TTO was 16 days. The patient had suspected epileptic seizure in Sep2020, as well. Based on the above, causality between grand mal convulsion and COMIRNATY is unlikely. No further information is expected. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: GM seizures

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