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

This is VAERS ID 1535913



Case Details

VAERS ID: 1535913 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-06-07
Onset:2021-06-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Death, Squamous cell carcinoma of lung
SMQs:, Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-20
   Days after onset: 43
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was hospitalized on 6/7/2021 for severe protein-calorie malnutrition and received the first dose of covid vaccine while hospitalized. Patient received second dose on 6/30/2021. Patient presented to the ED and was subsequently hospitalized on 7/4/2021 for squamous cell carcinoma of right lung. She died on 7/20/2021.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1535913

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