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

This is VAERS ID 1329706

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Case Details

VAERS ID: 1329706 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-20
Onset:2021-04-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood lactic acid, Blood lactic acid increased, C-reactive protein, C-reactive protein increased, Diarrhoea, General physical health deterioration, SARS-CoV-2 test, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), COVID-19 (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: Atrial fibrillation; Cardiac pacemaker insertion; Cardiomyopathy; Transcatheter aortic valve implantation
Allergies:
Diagnostic Lab Data: Test Date: 20210421; Test Name: Lactate; Result Unstructured Data: Test Result:increased; Test Date: 20210421; Test Name: CRP; Result Unstructured Data: Test Result:increased; Test Date: 20210421; Test Name: SARS-CoV-2 PCR test; Test Result: Negative
CDC Split Type: ATPFIZER INC2021544627

Write-up: Diarrhea; CRP, lactate elevated; CRP, lactate elevated; Vomiting; Somnolence; Deterioration of general condition; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB [AT-BASGAGES-2021-26825]. An 89 years old female patient received 2nd dose of BNT162B2 (COMIRNATY) on 20Apr2021 for COVID-19 immunisation. The patient''s medical history included: Transcatheter aortic valve implantation, Atrial fibrillation, Cardiac pacemaker insertion, Cardiomyopathy. Historical vaccine included 1st dose of BNT162B2 (COMIRNATY) on 30Mar2021 for COVID-19 immunisation. Concomitant drugs were not provided. On 21Apr2021 the patient experienced Deterioration of general condition, Diarrhea, Vomiting, Somnolence, CRP increased, Lactate increased. The outcome of all the events was fatal. SARS-CoV-2 PCR test was negative on 21Apr2021. No follow-up attempts are possible. No further information expected. Information on batch/lot number cannot be obtained. ; Reported Cause(s) of Death: CRP increased; Diarrhea; Lactate increased; Vomiting; Somnolence; Deterioration of general condition


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