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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1493247



Case Details

VAERS ID: 1493247 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Antibody test, COVID-19, Cough, Drug ineffective, Dyspnoea, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bypass surgery (She had bypass 19 years ago); COPD
Allergies:
Diagnostic Lab Data: Test Name: Antibody Test; Result Unstructured Data: Test Result:no antibody at all; Test Date: 2021; Test Name: Covid-19; Test Result: Positive ; Comments: She caught Covid and died.
CDC Split Type: USPFIZER INC2021881403

Write-up: My mother in law received the vaccine 4-5 months ago. She caught Covid and died; My mother in law received the vaccine 4-5 months ago. She caught Covid and died; Just couldn''t breathe; A little cough; This is a spontaneous report received from a contactable consumer via Pfizer sponsored program. The caller is calling on behalf of her deceased Mother-in-law. A 73-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported, Expiration Date: Unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunization. Medical history included COPD from an unknown date and unknown if ongoing, Bypass (She had bypass 19 years ago) from an unknown date and unknown if ongoing. The reporter stated that " I don''t know what else was she taking." The patient''s concomitant medications were not reported. Reporter wants to know if Pfizer was giving a placebo or the actual vaccine. She believes her mother-in-law had received a placebo vaccine. My mother-in-law received the vaccine 4-5 months ago. She caught Covid and died (2021). The doctor confirmed she did not have any antibodies. We all had been exposed to her. We are currently in quarantine. My father-in-law is 80 years old and was nervous. He was wondering why did he take the vaccine if it did not protect his wife or him. Reported doctor had basically tested her and they had found no antibodies. At the moment she was nervous because her father-in-law lived with them and they were both quarantined and he was 80 years old. Reporter stated they said she had no antibodies like she never got the vaccine. Reporter stated I do not know the name of antibody Test, but the hospital did it and they said she had no antibody at all. Date of Death: Reporter stated, I am not sure my father-in-law did knows exactly when they got vaccinated but it was 3 or 5 months ago. Reporter stated, "No, she went to the hospital on Thursday evening, and she had been on the ventilator like 3 hours later and she died on Saturday morning 2 O''clock. She had no fever, she had a little cough not major stuff, it was like flu the fever and usual cough she did not had any of that. She had no flu, she just couldn''t breathe (2021). Anatomical Site of Administration: Reporter stated, I just know that she received it 4 months ago. The patient underwent lab tests and procedures which included antibody test: no antibody at all, Covid-19: positive on 2021 (She caught Covid and died). Therapeutic measures were taken as a result of my mother in law received the vaccine 4-5 months ago. she caught covid and died, just couldn''t breathe. The patient died on 10Jul2021. An autopsy was not performed. The outcome of events just couldn''t breathe and cough was unknown, while other events was fatal. Information on the lot/batch number has been requested.; Reported Cause(s) of Death: My mother in law received the vaccine 4-5 months ago. She caught Covid and died


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