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This is VAERS ID 1438144

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1438144
VAERS Form:2
Age:66.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-27
Onset:2021-05-27
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute myocardial infarction, Blood gases, Cardiac arrest, Cardiogenic shock, Chest pain, Echocardiogram, Troponin I, Blood test

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-06-05
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: Diabetes; Hypertension; Overweight
Preexisting Conditions: Medical History/Concurrent Conditions: Cardiac disorder (Patient went to his own general practitioner about a heart related problem, not vaccine related)
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Arterial blood gases; Result Unstructured Data: Test Result:showed lactic acidosis and hypoxia; Test Date: 2021; Test Name: Blood test; Result Unstructured Data: Test Result:Unknown results; Test Date: 2021; Test Name: Echocardiography; Result Unstructured Data: Test Result:showed decreased left ventricular function 30-40%,; Comments: showed decreased left ventricular function 30-40%, cardiac failure; Test Date: 2021; Test Name: Troponin I; Result Unstructured Data: Test Result:125000; Comments: normal value under 10
CDC 'Split Type': DKPFIZER INC2021759279

Write-up: Inferior STEMI with biventricular heart failure; Severe chest pain; cardiac arrest; Cardiogenic shock; This is a spontaneous report from contactable physicians downloaded from the Regulatory Authority-WEB regulatory authority number DK-DKMA-WBS-0070725. A 66-year-old male patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 27May2021 (Batch/Lot Number: Unknown) as dose 2, single at the age of 66-year-old for covid-19 immunisation. Patient received the first dose on an unknown date for covid-19 immunisation and no side effects was reported after first dose of the vaccination with bnt162b2. Patient medical concurrent conditions included diabetes, hypertension and overweight, all ongoing. Medical history included cardiac disorder (Patient went to his own general practitioner about a heart related problem, not vaccine related). The patient''s concomitant medications were not reported. The physicians described the occurrence of chest pain (Severe chest pain) and STEMI (Inferior STEMI with biventricular heart failure) in this patient, vaccinated with bnt162b2. On the same day as the 2nd dose (27May2021), the patient developed chest pain and STEMI. The events were by the reporter reported as being life threatening and fatal. After the diagnosis with STEMI, the patient received thrombolysis, and developed cardiac arrest (in 2021), but is rescuciated. Reported cause of death was STEMI (STEMI with biventricular heart failure) and cardiogenic shock. Only normal confirmation of death was performed. Test results includes: Troponin I in 2021: TNI 125000, normal value under 10. Echocardiography in 2021: showed decreased left ventricular function 30-40%, cardiac failure. Arterial blood gases in 2021: showed lactic acidosis and hypoxia. Blood test in 2021: results not reported. The cardiac arrest was recovered, and chest pain was not recovered. The STEMI and cardiogenic shock was fatal on 05Jun2021. The patient died on 05Jun2021. An autopsy was not performed. Causality initial reporter: The initial reporter commented, that the patient was a "typical STEMI-patient" and was in risk of heart complications due to hypertension, diabetes and overweight. The initial reporter commented that no side effects was reported after first dose of the vaccination with bnt162b2. The patient had been in contact with his own physician regarding heart-related problems which have not been suspected in relation to the vaccine. Causality 2nd physician: Another physician stated, that the death was due to a major myocardial infarction with cardiogenic shock. The death has not been reported to the Police, since there is no suspicion of a relation to the vaccine. No follow-up attempts are possible; batch/lot numbers cannot be obtained.; Reported Cause(s) of Death: STEMI; Cardiogenic shock

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