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

This is VAERS ID 1467951

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Case Details

VAERS ID: 1467951 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-14
Onset:2021-06-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-06-14
   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: FIPFIZER INC2021795820

Write-up: Sudden death; This is a spontaneous report from a contactable physician downloaded from the WEB, regulatory authority number FI-FIMEA-20213350. A 42-year-old female patient received bnt162b2 (COMIRNATY. Batch/Lot number was not reported), intramuscular on 14Jun2021 (at the age of 42 years old) as dose 1, single for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. No known allergies or underlying diseases. The patient experienced sudden death at the workplace about 1-2 hours after a given vaccination. The autopsy did not reveal any clear explanations for the sudden death. Further research the matter is pending. No follow-up attempts possible. Information on lot and batch numbers cannot be obtained.; Reported Cause(s) of Death: Sudden death


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