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This is VAERS ID 1469323

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1469323
VAERS Form:2
Age:71.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-07
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Blood cholesterol, Blood grouping, Cardiac failure acute, Thrombosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-03
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: Test Name: cholesterol; Result Unstructured Data: Test Result:good cholesterol values/ good cholesterol; Test Name: Blood type; Result Unstructured Data: Test Result: negative.
CDC 'Split Type': NLPFIZER INC2021796302

Write-up: Sudden death in sleep. In good health, weight and no medication: There were no side effects. Clot in the heart, acute heart failure during sleep and death.; Cause of death was thrombus in/around the heart which caused acute heart failure.; This is a spontaneous report from a contactable consumer (patient) from the Regulatory Authority. The Regulatory Authority number NL-LRB-00591063. A 71-year-old male patient received BNT162B2 (COMIRNATY), at the age of 71-year-old, via an unspecified route of administration on 07May2021 at single dose (dose number unknown), for COVID-19 immunisation. The patient medical history was not reported. The patient has no previous COVID-19 infection. The patient was in good health, had good cholesterol values, ate healthy, and used no medication. According to the GP the patient''s body and heart were in a good shape. With good cholesterol, good exercise, a good diet, and no use of medicines. Heart and body were in good condition according to GP. Never used drugs and physically strong. The patient had sudden death in sleep. In good health, weight, and no medication: there were no side effects. clot in the heart, acute heart failure during sleep, and death on 03Jun2021, cause of death was thrombus in/around the heart which caused acute heart failure on 03Jun2021. The patient underwent lab tests and procedures which included cholesterol: good cholesterol values/ good cholesterol. The patient died on 03Jun2021. It was unknown if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. Reported Cause(s) of Death: Cause of death was thrombus in/around the heart which caused acute heart failure. Sudden death in sleep. In good health, weight and no medication: There were no side effects. Clot in the heart, acute heart failure during sleep and death.

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