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

This is VAERS ID 1585937

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Case Details

VAERS ID: 1585937 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-07
Onset:2021-01-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1484 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Death, Diarrhoea, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-07
   Days after onset: 0
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: ITPFIZER INC2021125628

Write-up: death after 6 hours; asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine; asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine; asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine; asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority number IT-MINISAL02-667618. A 42-year-old female patient received BNT162B2 (COMIRNATY, Solution for injection, Lot Number: EL1484), intramuscular on 07Jan2021 as DOSE NUMBER UNKNOWN, 0.3ML SINGLE (Age of vaccination: Unknown) for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. On 07Jan2021 the patient experienced death after 6 hours and asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine. The outcome of event asthenia, diarrhea, headaches and myalgia occurred 6 hours after the 1st dose of the vaccine was recovered on an unspecified date. The patient died on 07Jan2021. It was not reported if an autopsy was performed. The signaler is contacted to get information about the concomitant diseases in which he suffers, and the date of the outcome (08.02.2021 still awaiting feedback) No Follow-up attempts are needed. No further information is expected.; Reported Cause(s) of Death: death after 6 hours


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