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This is VAERS ID 1435769

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1435769
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-03-31
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW2239 / 2 - / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-07
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': SIPFIZER INC2021751595

Write-up: Found dead; This is a spontaneous report from a contactable physician downloaded from the WEB regulatory authority number SI-JAZMP-NCPHV-2021SI0697_0697. A 95-year-old female patient received BNT162B2 (COMIRNATY, concentrate for dispersion for injection, COVID-19 mRNA vaccine, nucleoside modified - Tozinameran) dose 2 intramuscular on 31Mar2021 (Lot Number: EW2239; Expiration Date: 31Jul2021) as dose 2, single for Covid-19 prophylactic vaccination. The patient medical history and concomitant medications were not reported. On 07Apr2021, the patient was found death. The outcome of event was fatal. The patient died on 07Apr2021. It was not reported if an autopsy was performed. This case report was assessed as medically significant. No follow-up attempts are possible. No further information expected.; Reported Cause(s) of Death: found death

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