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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1498879



Case Details

VAERS ID: 1498879 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-02-12
Onset:2021-03-22
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262, EN6201 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Death, Retinal vein occlusion
SMQs:, Embolic and thrombotic events, venous (narrow), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-07
   Days after onset: 46
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:

Write-up: Bilateral retinal branch vein occlusions 1 month after. Died 5/7/21


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1498879

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