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From the 5/7/2021 release of VAERS data:

This is VAERS ID 848765



Case Details

VAERS ID: 848765 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: New York  
Vaccinated:2019-11-07
Onset:2019-11-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2019-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 2LL97 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2019-11-08
   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: metformin, enalapril, amlodipine, lipitor, vitamin d, hydroxyzine, januvia
Current Illness: DM, HTN, obesity, chronic urticaria, urinary frequency
Preexisting Conditions: as above
Allergies: mold, pollen,
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Pt was reported to be found dead the morning after vaccination. There is no clear association between vaccination and death, considering patient age and comorbidities. Medical examiner office informed clinic the next day


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