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This is VAERS ID 1467342

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467342
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-18
Onset:2021-06-24
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0168 / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Cardiopulmonary failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-24
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: Dementia; Internal carotid artery stenosis (ACI-Stenosis); Intervertebral disc protrusion (discus protrusion L4/L5)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ATPFIZER INC2021804062

Write-up: Cardiopulmonary insufficiency; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (RA)-WEB, regulatory authority number AT-BASGAGES-2021-33611. An 89-year-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 18Jun2021 (Lot Number: FD0168) as single dose for COVID-19 immunisation. Medical history included ongoing carotid artery stenosis (ACI-Stenosis), ongoing dementia dementia, ongoing intervertebral disc protrusion (discus protrusion L4/L5). Concomitant medications were not reported. Previously the patient received the first dose of COMIRNATY (Lot # EY7015) on 07May2021 for COVID-19 immunisation. The patient experienced cardiopulmonary insufficiency (medically significant) on 24Jun2021. The patient died on 24Jun2021 from cardiopulmonary insufficiency. An autopsy was not performed. Sender''s comment: comment: No further information available. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Cardiorespiratory insufficiency

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