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This is VAERS ID 960225

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 960225
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PTPFIZER INC2021034241

Write-up: Death; This is a spontaneous report from a contactable healthcare professional (HCP). This is a report received from the agency, I.P., National Authority of Medicine and Health Products, I.P. The Regulatory authority report number was not provided. An 81-year-old male patient received one dose of the BNT162B2 (COMIRNATY) via unspecified route 0.3 mL single for COVID-19 immunisation on an unspecified date. The patient medical history and concomitant medications were not reported. The patient death was reported. The patient died on an unspecified date. It was not reported if an autopsy was performed. The reported cause of death was unknown. The action taken in response to the event for BNT162B2 was not applicable. Outcome of the event was fatal. No follow-up attempts are possible. Information on batch number cannot be obtained. No further Information is expected.; Reported Cause(s) of Death: death

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