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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||UNKNOWN / UNK||- / -|
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': DEPFIZER INC2021553648
Write-up: Unknown cause of death; This is a spontaneous report received from a non- contactable physician downloaded from the Regulatory Authority (RA)-WEB, regulatory authority number is DE-PEI-202100063186. A72-year-old female patient received BNT162B2 (COMIRNATY) at 0.3 ml single dose via an unknown route on 25Apr2021 for COVID-19 immunisation. Medical history and concomitant medication were not reported. On 04May2021 the patient experienced unknown cause of death. Autopsy was performed and result was pending. Assessment: Source of assessment: Agency; Result of Assessment: D. Unclassifiable. Information about lot/batch number cannot be obtained. No further information expected.; Reported Cause(s) of Death: Unknown cause of death
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