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This is VAERS ID 1429074

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1429074
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-28
Onset:2021-05-29
Submitted:0000-00-00
Entered:2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-29
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: Arterial hypertension; Epilepsy
Preexisting Conditions: Medical History/Concurrent Conditions: Exposure to COVID-19
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': LVPFIZER INC2021680677

Write-up: Death; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority LV-SAM-2021065932. A 46-year-old male patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 28May2021 (Batch/Lot Number: Unknown) as dose 2, 0.3 ml single for covid-19 immunisation. Medical history included ongoing epilepsy, ongoing arterial hypertension and exposure Covid-19 from 16May2021 to an unknown date and did not exhibit any symptoms. The patient did not have SARS-CoV-2 testing done. The patient was advised to quarantine. The patient did not fully quarantine themselves, went to receive the 2nd vaccination dose on 28May2021 and subsequently - to work. The patient''s GP notes that the patient rarely went in for consultations. The patient''s concomitant medications were not reported. The patient previously received dose 1 of Comirnaty on unspecified date for Covid-19 immunization. The patient experienced death on 29May2021. It was reported that the patient was found dead. An autopsy was performed however results were not provided. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: death

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