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This is VAERS ID 1466291

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1466291
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-01
Onset:2021-05-03
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX2405 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Chills, Fall, Fatigue, Malaise, Myalgia, Pyrexia, Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-07
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: LYRICA; TRADONAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Tobacco user
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEPFIZER INC2021795201

Write-up: Sudden death with no other explanation/Sudden death; Fall; Fatigue; fleeting thoracic D+/chest pain; Myalgia; Fever; shivering; Malaise; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (RA)-WEB, regulatory authority number BE-FAMHP-DHH-N2021-91187. A 48-year-old male patient received first dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on 01May2021 (Batch/Lot Number: EX2405) as single dose for covid-19 immunisation. Medical history included tobacco. Concomitant medications included pregabalin (LYRICA) and tramadol hydrochloride (TRADONAL). On 03May2021, patient experienced fever, malaise, shivering, fatigue, myalgia, fall, chest pain, on 07May2021, patient experienced sudden death. Events was further described as follows: Sudden death with no other explanation, malaise, fall and death, failure to attend on 07May2021. No visible cause of death, no known vascular disease, general malaise since Monday 03May2021, did not consult (fleeting thoracic D+ on 03May2021, lasting about 1h, took Dafalgan 1g). For events fever, malaise, shivering, fatigue, myalgia, fall, sudden death, there was no treatment. The outcome of the events was fatal. The patient died on 07May2021. An autopsy was not performed. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: fleeting thoracic D+/chest pain; Myalgia; Fever; Sudden death with no other explanation/Sudden death; Fall; Shivering; Malaise; Fatigue

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