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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1583252

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Case Details

VAERS ID: 1583252 (history)  
Form: Version 2.0  
Age: 94.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: General physical health deterioration, Pyrexia, Staphylococcal sepsis, Staphylococcus test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-17
   Days after onset: 12
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: Atrial fibrillation; Cardiac failure; Essential hypertension.
Diagnostic Lab Data: Test Date: 20210205; Test Name: Staphylococcus aureus; Result Unstructured Data: Test Result: Positive.
CDC Split Type: DEPFIZER INC202100987737

Write-up: Fever; General physical condition decreased; Staphylococcus aureus septicemia; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number is DE-DCGMA-21190509. A 94-year-old female patient received BNT162B2 (COMIRNATY, solution for injection), dose 2 via an unspecified route of administration on 03Feb2021 (Batch/Lot Number: Unknown) as dose 2, 0.3 ml single (at the age of 94 years old) for COVID-19 immunisation. Medical history included cardiac failure, essential hypertension, atrial fibrillation. The patient''s concomitant medications were not reported. The patient previously took BNT162B2 (COMIRNATY, solution for injection), dose 1 on 13Jan2021 for COVID-19 immunisation. The patient experienced fever, general physical condition decreased and staphylococcus aureus septicemia (Staphylococcus aureus test positive) on 05Feb2021. The events led to hospitalization. The patient died on 17Feb2021. It was not reported if an autopsy was performed. No follow-up attempts are possible; information on lot/batch number cannot be obtained.; Reported Cause(s) of Death: Fever; General physical condition decreased; Staphylococcus aureus septicemia

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