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

This is VAERS ID 976306



Case Details

VAERS ID: 976306 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Foreign  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Multimorbidity, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-02
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Multimorbidity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201229; Test Name: SARS-CoV-2 test PCR; Test Result: Positive
CDC Split Type: DEPFIZER INC2021061739

Write-up: The patient passed away on 02Jan2021 as a result of her multiple diseases and a very long life; SARS-CoV-2 test PCR positive/death in relation to Covid-19 vaccination; SARS-CoV-2 test PCR positive; This is a spontaneous report from a contactable physician received via Regional Authority for Health and Social Matters and LLP-Biontech. An 87-year-old female patient received her first dose bnt162b2 (COMIRNATY), via an unspecified route of administration on 29Dec2020 10:00 at single dose for COVID-19 immunisation. Vaccine has not been re-administered. Medical history included ongoing multimorbidity. The patient''s concomitant medications were not reported. She has been tested for Corona before (positive) but did not develop any symptom. Afterwards was reported that the patient has been vaccinated against Corona on 29Dec2020 around 10:00 by the vaccination team. Around 14:00 of the same day SARS-CoV-2 test PCR positive four hours after vaccination. The patient passed away on 02Jan2021 as a result of her multiple diseases and a very long life. death in relation to Covid-19 vaccination: Vaccination - test - death - there was a temporal relation. The symptoms recurred without temporal relation to the vaccination. About the causality can only be speculated.It was unknown if an autopsy was performed.The outcome of event SARS-CoV-2 test PCR positive/death in relation to Covid-19 vaccination was unknown. Information on the lot/batch number has been requested.; Reported Cause(s) of Death: passed away on 02Jan2021 as a result of her multiple diseases and a very long life


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