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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1440339

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Case Details

VAERS ID: 1440339 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-05
Onset:2021-06-11
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX8679 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-06-11
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021770742

Write-up: Infarct myocardial; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number DE-PEI-202100108941. A 79-year-old male patient received bnt162b2 (COMIRNATY, lot number: EX8679), via an unspecified route of administration on 05May2021 (at the age of 79-year-old) as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 11Jun2021 the patient experienced Infarct myocardial. The patients outcome was: fatal for Infarct myocardial. The patient died on 11Jun2021. It was not reported if an autopsy was performed. The casual relationship of Comirnaty and event assessed as D. Unclassifiable by the Regulatory Authority. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Infarct myocardial


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