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This is VAERS ID 1329812

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1329812
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Pulmonary embolism

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-09
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: Acute renal insufficiency; Coronary heart disease; Type 2 diabetes mellitus
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021539568

Write-up: Cerebral circulatory disorder (stroke); Lung embolism; This is a spontaneous report downloaded from a Non-contactable Consumer from the Regulatory Authority-WEB [DE-PEI-CADR2021060275], Safety Report Unique Identifier [DE-PEI-202100052193] A 72-years-old female patient received bnt162b2 (COMIRNATY), on 08Jan2021 as UNKNOWN, SINGLE for covid-19 immunisation. Medical history included ongoing coronary artery disease , ongoing acute kidney injury , ongoing type 2 diabetes mellitus. The patient''s concomitant medications were not reported. On 09Jan2021 the patient experienced Cerebral circulatory disorder (stroke), Lung embolism. The patient''s outcome was fatal for Accident cerebrovascular, fatal for Lung embolism. The patient died on 09Jan2021. An autopsy was performed and results were not provided. No follow-up attempts are possible. Information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Accident cerebrovascular; Lung embolism

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