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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1432401

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Case Details

VAERS ID: 1432401 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death, Malaise
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: JPPFIZER INC2021703073

Write-up: Death; The patient felt unwell when eating; This is a spontaneous report from a contactable consumer (patient wife) received via a contactable reporter. The case refers to a patient of unknown gender and age. Medical history and concomitant medications were not reported. On unknown date at unknown time (the day of vaccination), the patient received a dose of BNT162b2 (COMIRNATY, Solution for injection, Lot number and Expiration date not reported) via an unspecified route of administration as a single dose for COVID-19 immunisation. On unknown date at unknown time (after an unknown time gap from the vaccination), the patient felt unwell when eating an experienced death. Onan unknown date, the outcome of the events was fatal. It was not reported whether autopsy was done. The course of the events was as follows: After waiting following the vaccination, the patient felt unwell when eating and was transported by ambulance. Thereafter, the patient died. The medical facility assessed that the causal relationship with the vaccine was unknown because a meal had been taken. The medical facility assessed the causality between the events and BNT162b2 as unknown.; Reported Cause(s) of Death: Unknown cause of death; The patient felt unwell when eating


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