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This is VAERS ID 1429015

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1429015
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-10
Onset:2021-06-11
Submitted:0000-00-00
Entered:2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3661 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Loss of consciousness, Pyrexia, Heat illness

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-11
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: Medical History/Concurrent Conditions: Late effects of cerebral infarction; Living in care
Allergies:
Diagnostic Lab Data: Test Date: 20210610; Test Name: Body temperature; Result Unstructured Data: Test Result:36.9 Centigrade; Comments: before vaccination
CDC 'Split Type': JPPFIZER INC2021693602

Write-up: Heat illness; The patient was unconscious; Pyrexia; This is a spontaneous report from a contactable other health professional (Other HCP) received from the Regulatory Authority. The regulatory authority report number is v21113760. The patient was an 86-year and 8-month-old female. Body temperature before vaccination was 36.9 degrees centigrade on 10Jun2021. Medical history included late effects of cerebral infarction and the patient was living while being cared by her younger sister in her 80s at home (care level 5). There were no other points to be considered. Family history and concomitant medications were not reported. On an unknown date, the patient previously received the first dose of BNT162b2 (COMIRNATY). On 10Jun2021 at 15:00 (the day of vaccination), the patient received the second dose of BNT162b2 (COMIRNATY, solution for injection, Lot number: FC3661, Expiration Date: 30Sep2021) via an unspecified route of administration at single dose for COVID-19 immunisation. On 11Jun2021 at 08:20 (1 day after the vaccination), the patient experienced heat illness. On 11Jun2021 (1 day after the vaccination), the patient experienced pyrexia and the patient was unconscious. On 11Jun2021 (1 day after the vaccination), the outcome of the event heat illness was fatal, while for the other events was unknown. It was not provided whether autopsy was done. The course of the events was as follows: On 11Jun2021 (1 day after the vaccination), the patient experienced pyrexia. The patient had been observed at home until around late afternoon, but because the fever did not decline, her family contacted the care manager in charge. The care manager called the reporting hospital. At visit of the physician, the patient was unconscious and was confirmed dead. After confirming the insufficient fluid intake, the indoor environment (no air conditioner or air conditioning equipment), and the patient''s condition, a diagnosis of heat illness and death was made. The reporting other HCP classified the event heat illness as serious (death) and assessed the causality between the event heat illness and BNT162B2 as unassessable. The seriousness and causality of the other events were not reported. Other possible cause of the event heat illness such as any other diseases: present. The reporting other HCP commented as follows: The causality with the vaccine was unknown because it was difficult to perform a close examination, but the heat illness was very likely due to the environment.; Reported Cause(s) of Death: Heat illness

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