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This is VAERS ID 1583475

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/20/2021

VAERS ID: 1583475
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-07-22
Submitted:0000-00-00
Entered:2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Cough, Dyspnoea, Groin pain, Malaise, Myocardial infarction, Myocarditis

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AUPFIZER INC202101033744

Write-up: Chest pain; Cough; Dyspnoea; Groin pain; Malaise; Myocardial infarction; Myocarditis; This is a spontaneous report from a contactable other health professional via the Regulatory Authority. Regulatory authority report number is 598851. A 52-year-old male patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 22Jul2021, the patient experienced chest pain, cough, dyspnoea, groin pain, malaise, myocardial infarction, myocarditis. The outcome of the events was fatal. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Chest pain; Cough; Dyspnoea; Groin pain; Malaise; Myocardial infarction; Myocarditis

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