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

This is VAERS ID 952914



Case Details

VAERS ID: 952914 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2020-12-30
Onset:2020-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6796 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Death, Discoloured vomit
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-12-31
   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: Medical History/Concurrent Conditions: Autoimmune encephalopathy (Especially autoimmune encephalopathy of paraneoplastic origin); Urothelial carcinoma bladder
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021023705

Write-up: Death (death certificate: uncertain type of death); evening vomiting; This is a spontaneous report from a non-contactable physician the Regulatory Authority. This is a report received from the Regulatory Authority. Regulatory authority report number was DE-PEI-CADRPEI-2021011672. A 79-year-old female patient received BNT162B2 (COMIRNATY; Lot Number: EJ6796), intramuscular on 30Dec2020 as a single dose for COVID-19 immunization. Medical history included especially autoimmune encephalopathy of paraneoplastic origin and suspected urothelial carcinoma of the bladder. The patient''s concomitant medications were not reported. The patient previously received the influenza vaccine (MANUFACTURER UNKNOWN) on 03Dec2020 for immunization and was tolerated. On 31Dec2020 (also reported as 30Dec2020), the patient developed evening vomiting which was dark in color and most likely food related. On 31Dec2020 at 04:35, the patient died. It was not reported if an autopsy was performed. The clinical outcome of vomiting was reported as fatal; however, the cause of death was reported as unknown cause of death. The vomiting and unknown cause of death were reported as medially significant and fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Unknown cause of death


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