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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1329705

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Case Details

VAERS ID: 1329705 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-15
Onset:2021-04-18
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood lactate dehydrogenase, Blood lactate dehydrogenase increased, General physical health deterioration, Hyperkalaemia, Low density lipoprotein, Low density lipoprotein increased, Renal failure, Transaminases, Transaminases increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Liver related investigations, signs and symptoms (narrow), Dyslipidaemia (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial hypertension; Peripheral arterial disease
Allergies:
Diagnostic Lab Data: Test Date: 20210418; Test Name: LDH; Result Unstructured Data: Test Result:significantly increased; Test Date: 20210418; Test Name: Low density lipoprotein cholesterol; Result Unstructured Data: Test Result:high; Test Date: 20210418; Test Name: Transaminases; Result Unstructured Data: Test Result:significantly increased
CDC Split Type: ATPFIZER INC2021544616

Write-up: Kidney failure; Transaminases / LDH significantly increased (shock organs?); Transaminases / LDH significantly increased (shock organs?); Hyperkalaemia; General condition worsening; Low density lipoprotein cholesterol high; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority -WEB AT-BASGAGES-2021-26820. An 89-year-old female patient received bnt162b2 (COMIRNATY, Batch/Lot Number: Unknown), via an unspecified route of administration on 15Apr2021 at single dose for COVID-19 immunisation. Medical history included arterial hypertension and peripheral arterial disease. The patient''s concomitant medications were not reported. On 18Apr2021 the patient experienced general condition worsening (general physical condition decreased), kidney failure, hyperkalaemia, transaminase value increased, Low density lipoprotein cholesterol high. Transaminases / LDH significantly increased (shock organs?). The outcome of events was fatal. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Transaminases / LDH significantly increased (shock organs?); Hyperkalaemia; General condition worsening; Low density lipoprotein cholesterol high; Kidney failure; Transaminases / LDH significantly increased (shock organs?)


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