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This is VAERS ID 1588851

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/20/2021

VAERS ID: 1588851
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-07-12
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cardiac failure, Cerebrovascular accident, Facial paralysis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-13
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Photosensitivity reaction
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC202101038889

Write-up: Accident cerebrovascular; failure symptoms and paralysis of the Half of the face; failure symptoms and paralysis of the Half of the face; This is a spontaneous report from non-contactable consumer downloaded from the regulatory authority DE-PEI-CADR2021156690, Safety Report Unique Identifier DE-PEI-202100158847. A 54-year-old male patient received bnt162b2 (COMIRNATY, strength: 0.3ml), dose 2 via an unspecified route of administration on 12Jul2021 (Batch/Lot Number: Unknown) as dose 2, single for covid-19 immunisation. Medical history included Sun allergy from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. On 13Jul2021 the patient experienced Accident cerebrovascular. Also reported failure symptoms and paralysis of the Half of the face. Ambulance Hospital. The patient died for Accident cerebrovascular on 13Jul2021, outcome of other events was unknown. It was unknown if an autopsy was performed. Sender Comment: Are you or the person concerned known of any allergies? If yes, which? Sun allergy / failure symptoms and paralysis of the Half of the face. Ambulance Hospital. Source of assessment regulatory authority. Result of. Assessment D. Unclassifiable. Dosage text: 2. No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: Accident cerebrovascular

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