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This is VAERS ID 1430838

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430838
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-06-19
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-19
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021751178

Write-up: died one day after the second vaccination; This is a spontaneous report from a contactable consumer based on information received by Pfizer from Biontech [manufacturer control number: 66632], license party for Comirnaty. A female patient of an unknown age received 2nd dose BNT162B2 (COMIRNATY) at single dose on an unknown date via an unknown route for COVID-19 immunisation. Medical history and concomitant drug were not provided. Historical vaccine included 1st dose BNT162B2 (COMIRNATY) for COVID-19 immunisation. It was reported that a "very fit" woman died on19Jun2021, one day after the second vaccination. It was unknown if autopsy was performed. Lot/batch number has been requested.; Reported Cause(s) of Death: died one day after the second vaccination

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