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This is VAERS ID 1336455

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1336455
VAERS Form:2
Age:76.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-12
Onset:2021-02-22
Submitted:0000-00-00
Entered:2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Circulatory collapse, Intestinal infarction, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-23
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: Arterial hypertension; Coronary sclerosis; Gastritis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021553647

Write-up: Cardiovascular failure due to small bowel infarction in Bridenileus; Cardiovascular failure due to small bowel infarction in Bridenileus; General debility; Vomiting; This is a spontaneous report downloaded from the Regulatory Authority. A non-contactable physician reported that a 76-year-old female patient received second dose of (COMIRNATY, Batch/Lot number was not reported), via an unspecified route of administration at the age of 76-year-old on 12Feb2021 at 0.3ml single dose for COVID-19 immunisation. Medical history included ongoing arterial hypertension, ongoing coronary sclerosis, ongoing gastritis. The patient''s concomitant medications were not reported. The patient previously received first dose of bnt162b2 (COMIRNATY) on 22Jan2021 at 0.3ml single dose for COVID-19 immunisation. The patient experienced general debility and vomiting on 22Feb2021, cardiovascular failure due to small bowel infarction in Bridenileus on unspecified date. The outcome of events was fatal. The patient died on 23Feb2021. An autopsy was performed that revealed cardiovascular failure due to small bowel infarction in bridenileus. This report was reported as serious report. The drug related to all events. No follow-up attempts are possible; information about lot/batch number cannot be obtained; Reported Cause(s) of Death: Vomiting; General debility; Autopsy-determined Cause(s) of Death: Cardiovascular failure due to small bowel infarction in Bridenileus; Cardiovascular failure due to small bowel infarction in Bridenileus

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