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This is VAERS ID 1469328

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1469328
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-04
Onset:2021-06-08
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0785 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-08
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': NLPFIZER INC2021796405

Write-up: Cardiac arrest; This is a spontaneous report from a contactable consumer or other non hcp NL-LRB-00592575. A 72-year-old female patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on 04Jun2021 (Batch/Lot Number: FD0785) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took dose 1 comirnaty (Batch/Lot Number: unknown) for covid-19 immunisation on 30Apr2021. The patient experienced cardiac arrest on 08Jun2021 with fatal outcome. The patient died on 08Jun2021. It was not reported if an autopsy was performed. No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: Cardiac arrest

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