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This is VAERS ID 1339146

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1339146
VAERS Form:2
Age:81.0
Sex:Male
Location:Foreign
Vaccinated:2021-03-02
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6790 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Cachexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-14
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: Dementia NOS; Hypertension; Pleural mesothelioma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210222; Test Name: COVID-19 PCR test; Test Result: Negative ; Test Date: 20210309; Test Name: COVID-19 PCR test; Test Result: Negative
CDC 'Split Type': HUPFIZER INC2021560194

Write-up: cachexia; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB HU-OGYI-287221. This is a report received from the Regulatory Authority. Regulatory authority report number HU-OGYI-287221. An 81-year-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in arm left on 02Mar2021 (Batch/Lot Number: EJ6790) as 0.3 mL, single at the age of 81-year-old for COVID-19 immunisation. Medical history included ongoing hypertension, ongoing dementia, ongoing pleural mesothelioma. The patient''s concomitant medications were not reported. The patient was under in-patient care at the time of the vaccination. The hospitalization started on 14Dec2020. The patient experienced cachexia on 26Mar2021. The patient''s hospitalization was prolonged as a result of cachexia. The patient underwent lab tests and procedures which included Sars-cov-2 test: negative on 22Feb2021 and on 09Mar2021. The patient died on 14Apr2021 (also reported as 24 days after Comirnaty vaccination). An autopsy was not performed. According to the patient''s death certificate, the direct cause of death was cachexia, indirect causes were pleural mesothelioma and dementia NOS. The outcome of events was fatal. In the reporter physician''s opinion, the patient''s death was related to his underlying diseases. Reporter Comment: The 81- year-old patient died 24 days after Comirnaty vaccination. The cause of death was cachexia. The causal relationship between the reported death and the vaccine is considered unlikely. The case is serious due to fatal outcome. No follow-up attempts possible. No further information expected.; Reporter''s Comments: The 81- year-old patient died 24 days after Comirnaty vaccination. The cause of death was cachexia. The causal relationship between the reported death and the vaccine is considered unlikely. The case is serious due to fatal outcome.; Reported Cause(s) of Death: cachexia

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