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

This is VAERS ID 990138



Case Details

VAERS ID: 990138 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2020-12-30
Onset:2021-01-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-03
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Apoplexy; Hypertension arterial
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210101; Test Name: body temperature; Result Unstructured Data: Test Result:39.5 Centigrade; Comments: continuously
CDC Split Type: DEPFIZER INC2021067276

Write-up: Temperatures of 39.5 ? C continuously; This is a spontaneous report from a non-contactable physician downloaded from the Medicines Agency (MA) Regulatory Authority-WEB (DE-PEI-PEI2021001079). A 100-year-old female patient received the first dose of bnt162b2 (COMIRNATY), via an unspecified route of administration, on 30Dec2020 at a single dose for COVID-19 immunization. Medical history included ongoing hypertension arterial and ongoing apoplexy; both from an unspecified date. The patient''s concomitant medications were not reported. The patient experienced temperatures of 39.5 ? C continuously on 01Jan2021. The event was reported as being fatal. The patient underwent lab tests and procedures on 01Jan2021 which included: body temperature: 39.5 ? C continuously. The patient died on 03Jan2021. It was unknown if an autopsy was performed. No follow-up attempts are possible; information about batch/lot number cannot be obtained.; Reported Cause(s) of Death: Temperatures of 39.5 ? C continuously


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