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

This is VAERS ID 1336355

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Case Details

VAERS ID: 1336355 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2021-03-10
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Respiratory failure, SARS-CoV-2 test positive, Vaccination failure
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), 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), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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: Weakness generalised (General weakness)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210310; Test Name: COVID-19 virus test positive; Result Unstructured Data: Test Result:positive
CDC Split Type: ATPFIZER INC2021553627

Write-up: Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination; Vaccination failure after the second vaccination on 29Jan2021; Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination; This is a spontaneous report from a contactable physician downloaded from the regulatory authority EudraVigilance-WEB AT-BASGAGES-2021-26930. A 90-year-old male patient received bnt162b2 (COMIRNATY, Batch/Lot number was not reported) via an unspecified route of administration, dose 1 as 1st dose, single on an unspecified date, dose 2 intramuscular on 29Jan2021 as 2nd dose, single for covid-19 immunisation. The patient''s medical history included continuing weakness generalized. Concomitant medication not reported. The patient''s concomitant medications were not reported. Vaccination failure after second vaccination carried out on 29Jan2021, died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination. On 10Mar2021 the patient experienced Vaccination failure, Respiratory insufficiency, COVID-19 virus test positive. The outcome was: unknown for Vaccination failure, fatal for Respiratory insufficiency, unknown for COVID-19 virus test positive. No follow-up attempts are possible. No further information expected. Information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination


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