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This is VAERS ID 990293

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 990293
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-16
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-21
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: Medical History/Concurrent Conditions: Dementia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IEPFIZER INC2021078981

Write-up: POSSIBLE DEATH; This is a spontaneous report from a contactable Physician downloaded from the Medicines Agency (MA) WEB, IE-HPRA-2021-063510. A 93-years-old female receive first dose of bnt162b2 (COMIRNATY) Lot #EM0477 on 16Jan2021 at 0.3 mL single dose for covid-19 immunisation . Medical history included dementia from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced possible death on 21Jan2021.Clincal course was as follows: The action taken in response to the event(s) for bnt162b2 was not applicable. On 20Jan2021, the patient went to bed as usual. On 21Jan2021, at 8.40 am, the patient was observed breathing comfortably in her sleep. At 8.50 am, the patient had stopped breathing. It was reported that the patient appeared to have died peacefully in her sleep. It was outlined that while she had dementia, the reporter had no clear proximate cause of death and having discussed this with the Coroner, she was sent for a post mortem. The patient was physically well at the time of death.it was not reported if an autopsy was performed.Outcome of the event was fatal. No follow-up attempts are possible, no further information is expected.; Reported Cause(s) of Death: POSSIBLE DEATH

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