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This is VAERS ID 1434238

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First Appeared on 7/2/2021

VAERS ID: 1434238
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-30
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9788 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death, Depressed mood, Diarrhoea, Decreased appetite

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-18
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: LOSARTAN/HYDROCHLOROTHIAZIDE; TRAZODONE; OMEPRAZOLUM; FASLODEX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthrosis; Breast cancer; Dyslipidaemia; Hypertension arterial
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ESPFIZER INC2021753312

Write-up: dead, the cause is unknown; Low mood; Anorexia; Diarrhea; This is a spontaneous report from a contactable other healthcare professional, received from regulatory authority, downloaded from the Regulatory Authority-WEB. The regulatory authority report number is ES-AEMPS-810527. An 88-year-old female patient received the second dose of BNT162B2 (COMIRNATY, Batch/Lot number: EK9788), via an unspecified route of administration on 30Jan2021 (unknown age at time of vaccination) as single dose for COVID-19 immunisation. Medical history included dyslipidaemia, hypertension arterial, arthrosis, and breast cancer. Concomitant medications included hydrochlorothiazide, losartan potassium (LOSARTAN/HYDROCHLOROTHIAZIDE); trazodone (TRAZODONE); omeprazolum (OMEPRAZOLUM); fulvestrant (FASLODEX). The patient previously received the first dose of BNT162B2 (COMIRNATY, Lot/batch number: EM0477) on 09Jan2021 (unknown age at time of vaccination) as single dose for COVID-19 immunisation. The patient experienced anorexia and diarrhea on 31Jan2021; low mood on 14Feb2021. Verbatim: Has COVID-19 passed?: Unknown. Patient with the background described above, they notify the nursing home for decay for a few days. They refer anorexia. They do not report nausea or vomiting or diarrhea. They do not report abdominal pain. They do not refer voiding syndrome. They do not refer respiratory symptoms. Not refers to chest pain. They do not report other accompanying symptoms. The 2nd dose of Comirnaty was vaccinated on 31Jan2021. Four days after that she is found dead, the cause is unknown. The outcome of diarrhea was recovered (duration: 1 day); outcome of anorexia and low mood was unknown. The patient died on 18Feb2021. It was unknown if an autopsy was performed. The cause of death is unknown.; Reported Cause(s) of Death: dead, the cause is unknown

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