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

This is VAERS ID 1428710

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Case Details

VAERS ID: 1428710 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-13
Onset:2021-05-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute myocardial infarction, Malaise, SARS-CoV-2 RNA undetectable, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-16
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: WARFARIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Aortic valve replacement; Chronic ischaemic heart disease, unspecified
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: SARS-CoV-2 RNA undetectable; Result Unstructured Data: Test Result:nasopharyngeal swab, not detected.
CDC Split Type: IEPFIZER INC2021688261

Write-up: RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE; unresponsive; FEELING UNWELL; This is a spontaneous report from a contactable other healthcare professional (Coroner) downloaded from the a regulatory authority. The regulatory authority report number is [IE-HPRA-2021-074281]. A 57-years-old male patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on 13May2021 (Lot Number: Unknown) as single dose for covid-19 immunization at the age of 57 years old. Medical history included Chronic ischaemic heart disease, unspecified and aortic valve replacement. Concomitant medication(s) included warfarin. The patient experienced feeling unwell on 13May2021, ruptured acute myocardial infarction of the anterior aspect of the left ventricle on 16May2021. Reported as: On 13May2021, following vaccination, the patient felt unwell that night, next day and again on 16May2021. On 16May2021, the patient was found unresponsive on the floor at home. Given the temporal relationship between the first vaccine and death, a Coroner''s autopsy was directed. On 19May2021, the post-mortem report indicated that the cause of death was a ruptured acute myocardial infarction of the anterior aspect of the left ventricle in the context of chronic ischaemic heart disease and aortic valve replacement. It was noted that nasopharyngeal swab was obtained, which SARS-CoV-2 RNA was not detected on 19May2021. The patient died on 16May2021. An autopsy was performed that revealed ruptured acute myocardial infarction of the anterior aspect of the left ventricle. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: unresponsive; RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE; FEELING UNWELL; Autopsy-determined Cause(s) of Death: RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE


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