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This is VAERS ID 1468049

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First Appeared on 7/16/2021

VAERS ID: 1468049
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-10
Onset:2021-06-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3143 / 2 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-13
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: XARELTO; TERCIAN; FUROSEMIDE; ISOPTINE; MIRTAZAPINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: AFib; Arrhythmia; Chronic respiratory failure; Nasal cannula oxygen therapy; Psychiatric disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FRPFIZER INC2021796007

Write-up: Sudden death unexplained; This is a spontaneous report from a contactable physician from the Regulatory Authority. The regulatory authority number: FR-AFSSAPS-2021076271. An 81-year-old female patient received BNT162B2 (COMIRNATY), dose 2 intramuscular, administered in Arm Left on 10Jun2021 (Lot Number: FC3143) as single dose for COVID-19 immunisation. Medical history: atrial fibrillation (AFib), arrhythmia, chronic respiratory failure, psychiatric disorder, and nasal cannula oxygen therapy. Concomitant medications included rivaroxaban (XARELTO) for complete arrhythmia due to atrial fibrillation, cyamemazine tartrate (TERCIAN) for psychiatric disorder, furosemide for cardiac disorder, verapamil hydrochloride (ISOPTINE) furosemide for cardiac disorder, and mirtazapine for psychiatric disorder. On 10Jun2021, second injection of the vaccine. Good immediate tolerance. On 13Jun2021 patient was seen in the morning, in her usual state. At the end of the morning she was found asleep. Sudden unexplained death of the patient. No sign of struggle. Conclusion: sudden unexplained death of 81 year-old woman, long-term treated with XARELTO, furosemide, mirtazapine, ISOPTINE, three days after second injection of COMIRNATY vaccine. It was unknown if an autopsy was performed. Accountability without prejudice to the elements of investigations which could be carried out within the framework of legal or amicable compensation procedures. No follow-up attempts possible. No further information expected.; Reporter''s Comments: Conclusion : sudden death of 81 year old women, long term treated with XARELTO, furosemide, mirtazapine, ISOPTINE, three days after second injection with COMIRNATY vaccine (lot FC3143).; Reported Cause(s) of Death: Sudden death unexplained

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