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This is VAERS ID 1583474

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First Appeared on 8/20/2021

VAERS ID: 1583474
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Arteriosclerosis coronary artery, Cardiomegaly, Myocardial fibrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Diagnostic Lab Data:
CDC 'Split Type': AUPFIZER INC202101033741

Write-up: Arteriosclerosis coronary artery; Cardiomegaly; Myocardial fibrosis; This is a spontaneous report from a contactable other health professional via the Regulatory Authority. Regulatory authority report number is 598170. An 89-year-old male patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for Covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced Arteriosclerosis coronary artery; Cardiomegaly; Myocardial fibrosis, all on 23APR2021. The patient died on an unspecified date. It was not reported if an autopsy was performed. The outcome of the events was Fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Arteriosclerosis coronary artery; Cardiomegaly; Myocardial fibrosis

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