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This is VAERS ID 1338075

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1338075
VAERS Form:2
Age:79.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-19
Onset:2021-02-19
Submitted:0000-00-00
Entered:2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM6950 / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Aspiration, Asthenia, Diarrhoea, Presyncope, Pyrexia, Vomiting, General physical health deterioration

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-21
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:
Preexisting Conditions: Medical History/Concurrent Conditions: Aspiration pneumonia (From the 18 to 24Jan2021 admission for bronchoaspiration pneumonia); Chronic kidney disease; Chronic obstructive pulmonary disease; Diabetes mellitus; Dyslipidemia; Hypertension; Hypothyroidism; Vascular dementia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ESPFIZER INC2021560627

Write-up: Vomiting; low-grade fever; weakness; sudden worsening of the general condition; bronchoaspiration/Aspiration into bronchus; Diarrhoea; a self-limiting vagal reaction; This is a spontaneous report downloaded from the Regulatory Authority (RA)-WEB [ES-AEMPS-864584]. This contactable other HCP reported events for both doses of Comirnaty for this patient. This is the first of two reports for the second dose. A 79-year-old male patient received bnt162b2 (COMIRNATY), intramuscular on 19Feb2021 (Lot Number: EM6950) as 2nd dose, 0.3ml single for covid-19 immunisation. Medical history included hypertension, diabetes mellitus, dyslipidemia, vascular dementia, chronic kidney disease, chronic obstructive pulmonary disease, hypothyroidism; From the 18 to 24Jan2021 admission for bronchoaspiration pneumonia. The patient''s concomitant medications were not reported. The patient previously received bnt162b2 (COMIRNATY), intramuscular on 28Jan2021 (Lot Number: EJ6796) as 1st dose single for covid-19 immunization and experienced the fever that was not measured, from 03Feb2021 to 18Feb2021 new admission with acute respiratory failure with aspiration. Received a second dose of vaccine on 19Feb2021 and 2 hours later presented with diarrhea with a self-limiting vagal reaction. On 21Feb2021 started to have low-grade fever, weakness, a sudden worsening of the general condition, vomiting, diarrhea, and died. It is oriented as probable bronchoaspiration/Aspiration into bronchus. The outcome of the events was fatal. The patient died on 21Feb2021 due to events. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Linked Report(s) : ES-PFIZER INC-2021573951 the same patient different dose of product; Reported Cause(s) of Death: Diarrhoea; a self-limiting vagal reaction; Vomiting; low-grade fever; weakness; sudden worsening of the general condition; Aspiration into bronchus

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