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This is VAERS ID 1467500

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467500
VAERS Form:2
Age:51.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-22
Onset:2021-06-22
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Circulatory collapse, Dyspnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-22
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:
CDC 'Split Type': DEPFIZER INC2021795798

Write-up: Acute circulatory failure; Dyspnea; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory Authority. The regulatory authority number DE-PEI-202100113103. A 51-years-old female patient received bnt162b2 (COMIRNATY), via an unspecified route of administration on 22Jun2021 (Batch/Lot Number: Unknown) as dose number unknown, single for Covid-19 immunisation. The patient''s weight and height were not reported. The patient medical history and concomitant medications were not reported. On 22Jun2021, five hours after vaccination the patient experienced dyspnea, acute circulatory failure, and had a resuscitation. The events were reported as fatal. The patient died on 22Jun2021. It was not reported if an autopsy was performed. Event assessment : Comirnaty/ all events/Result of Assessment: Unclassifiable No follow-up attempts are possible, information on batch/lot number cannot be obtained. No further information expected.; Reported Cause(s) of Death: dyspnea; Acute circulatory failure

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