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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1670560



Case Details

VAERS ID: 1670560 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-08-25
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lasix 20mg, escitalopram 20mg, alprazolam 0.5mg, naltrexone 50mg, metoprolol tartrate 25mg
Current Illness: Type II diabetes, coronary artery disease, history of cerebral vascular accident, alcohol dependence/abuse, morbid obesity, hypertension, hyperlipidemia.
Preexisting Conditions: Type II diabetes, coronary artery disease, history of cerebral vascular accident, alcohol dependence/abuse, morbid obesity, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient deceased 08/25/2021


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