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This is VAERS ID 1435207

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1435207
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Cold sweat, Death, Depressed level of consciousness, Discomfort

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-08
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: Hypertension
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': ISPFIZER INC2021752726

Write-up: Consciousness decreased; Discomfort; Cold sweat; Chest pain; death; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB IS-IMA-3090.This case was received via the Agency from a physician. A 94-year old female with hypertension was vaccinated for the second time with Comirnaty on 21Jan2021 for COVID-19 immunisation.The patient has hypertension and no other history of cardiovascular diseases.Concomitant medication was not reported.On 08FEB2021, 18 days after the second administration of the Comirnaty vaccine, the patient experienced sudden discomfort, chest pain, cold sweat and impaired consciousness. Patient passed away 30 minutes later. Outcome of events was fatal. No follow-up attempts possible. No further information expected. Information on batch number cannot be obtained.; Reported Cause(s) of Death: unknown cause of death

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