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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EL1484 / 1||LA / OT|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': ITPFIZER INC2021068116
Write-up: Dyspnea; This is a spontaneous report from a contactable physician downloaded from the regulatory authority. The regulatory authority report number is IT-MINISAL02-656016. A 91-year-old female patient received BNT162B2 (COMIRNATY; Lot number EL1484, expiration date 30Apr2021), intramuscular into the left arm on 15Jan2021, at 18:00 as single dose covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced dyspnea on 16Jan2021, which was serious as it lead to death. The patient died on 18Jan2021. It was not reported if an autopsy was performed. Sender''s comment: additional information requested from reporter including discharge report.; Reported Cause(s) of Death: Dyspnea
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