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This is VAERS ID 1435188

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1435188
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-09
Onset:2021-05-01
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW9127 / 2 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Drug ineffective, Hyponatraemia, Hydrothorax, Bedridden, Fluid intake reduced, Laboratory test, Disease progression, Hypophagia, Chronic kidney disease, SARS-CoV-2 test, COVID-19 pneumonia, Asymptomatic COVID-19

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-03
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Aortic arteriosclerosis; Brain infarction; Hyperlipidaemia; Hypertension; Ischemic heart disease; Kidney failure chronic; NIDDM; Pulmonary embolism
Allergies:
Diagnostic Lab Data: Test Date: 20210501; Test Name: Chest X-ray; Result Unstructured Data: Test Result:COVID-19 pneumonia; Comments: COVID-19 pneumonia, hydrothorax; Test Name: Laboratory test; Result Unstructured Data: Test Result:mild hyponatremia, elevated inflammatory parameter; Comments: mild hyponatremia, elevated inflammatory parameters and progression of his chronic kidney failure; Test Date: 20210501; Test Name: COVID-19 PCR test; Test Result: Negative ; Test Date: 20210503; Test Name: COVID-19 PCR test; Test Result: Negative
CDC 'Split Type': HUPFIZER INC2021752046

Write-up: vaccination failure; COVID-19 pneumonia; Asymptomatic COVID-19; hyponatremia; progression of his chronic kidney failure; progression of his chronic kidney failure; hydrothorax; Bedridden; Did not drink or eat much; Did not drink or eat much; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB. The regulatory authority number is HU-OGYI-415221. This spontaneous, serious, medically confirmed case was reported on 31May2021 by a physician and concerns the occurrence of vaccination failure, Covid-19 pneumonia and asymptomatic Covid-19 infection resulting in death after COMIRNATY injection for active immunization to prevent COVID-19. On 05Mar2021 the 78-years-old male patient received the first dose (lot number: EP2163) and on 09Apr2021 received the second dose of 0.3 ml COMIRNATY concentrate for dispersion for injection (tozinameran (COVID-19 mRNA Vaccine embedded in lipid nanoparticles), lot number: EW9127, expiry date: unknown, MAH: BioNTech Manufacturing GmbH/Pfizer) intramuscularly in the left arm to prevent Covid-19. The patient was hospitalized on 01May2021 after finding him lying on the floor in his home. According to the patients relative, he was bedridden and did not drink or eat much. The patient did not have Covid-19 symptoms and his PCR tests were also negative. Laboratory results showed mild hyponatremia, elevated inflammatory parameters and progression of his chronic kidney failure. Chest X-ray showed hydrothorax and pneumonia. The patient received therapy, but his general condition worsened and passed away on 03May2021 22:00. Medical history included hypertension, ischemic heart disease, aortic atherosclerosis, hyperlipidemia, NIDDM, chronic kidney failure, brain infarction and pulmonary embolism in May2020. Concomitant drugs were not reported. Further information is not expected. Sender Comment: The patient had negative Covid-19 PCR tests, but laboratory results implied Covid-19 infection. The patient also received both doses of the vaccine and passed away 24 days after the second those, therefore vaccination failure is possible. The case is serious because the outcome was fatal. Further information is not expected. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Asymptomatic COVID-19; vaccination failure; COVID-19 pneumonia

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