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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1441731

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Case Details

VAERS ID: 1441731 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
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 - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Contusion, Epistaxis, Hallucination, Migraine, SARS-CoV-2 test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Termination of pregnancy and risk of abortion (narrow), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? Yes
Died? Yes
   Date died: 2021-03-05
Permanent Disability? Yes
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: Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021776658

Write-up: Miscarriage; Nosebleed; Bruise; Migraine; Hallucination; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106230919115640-1PBPG, Safety Report Unique Identifier GB-MHRA-ADR 25523828. A female patient of unspecified age received Unknown dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Lot number was not reported) as dose number unknown, single for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. On an unspecified date, the patient experienced nosebleed, bruise, migraine and hallucination. The above mentioned events were reported as serious with seriousness criteria as Disabling/Incapacitating, life threatening, and Other medically important condition. On an unspecified date, the patient experienced miscarriage with seriousness criteria as Results in death, congenital anomaly/birth defect, Disabling/Incapacitating, life threatening, and Other medically important condition. The patient underwent lab tests and procedures which included COVID-19 virus test on an unspecified date: negative (No - Negative COVID-19 test). The outcome of event nosebleed was not recovered, for events Bruise and hallucination was recovering, for event migraine was recovered on an unspecified date, and for event miscarriage was fatal. The patient died on 05Mar2021. It was not reported if an autopsy was performed. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Miscarriage


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