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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1338311

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Case Details

VAERS ID: 1338311 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW4109 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021555125

Write-up: Death; This is a spontaneous report from a contactable physician received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-APPCOVID-20210516102301. Safety Report Unique Identifier GB-MHRA-ADR 25304752. A 57-year-old female patient received Bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) second dose (Batch/lot numer EW4109) on 14May2021 as single dose for COVID-19 immunisation. Medical history included patient has not had symptoms associated with COVID-19, not had a COVID-19 test, unsure if patient is enrolled in clinical trial. Concomitant medications were not reported. The patient was vaccinated under the normal protocol processes. Was observed for 15 minutes and left the premises. Reporter were informed later on the day by the police that the patient has passed away on 14May2021. Not sure if related to the vaccine but needs to be reported. It was unknown if Autopsy Done. The outcome of the event was fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: death


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