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This is VAERS ID 1440065

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440065
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cardiomegaly, Death, Pericardial effusion, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Test Name: autopsy; Result Unstructured Data: Test Result:enlarged heart and fluid surrounding the heart; Comments: caused by the Covid vaccination
CDC 'Split Type': USPFIZER INC2021760279

Write-up: died three days after Covid vaccination; Autopsy showed enlarged heart and fluid surrounding the heart; Autopsy showed enlarged heart and fluid surrounding the heart; This is a spontaneous report from a contactable consumer or other non-health care professional in response to mail sent regarding the confirmation of below mentioned query. A 13-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date not reported) via an unspecified route of administration in an unspecified anatomical location on an unspecified date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date not reported) via an unspecified route of administration in an unspecified anatomical location on an unspecified date as single dose for COVID-19 immunisation. On an unspecified date, the patient after receiving his second Covid vaccine from Pfizer died three days later. The patient underwent lab tests and procedures which included autopsy: enlarged heart and fluid surrounding the heart caused by the Covid vaccination. The outcome of the events was fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: enlarged heart and fluid surrounding the heart

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