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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1339157

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Case Details

VAERS ID: 1339157 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-07
Onset:2021-04-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW2239 / UNK LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-10
   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: ASTRIX; MERAMYL HCT; BISOBLOCK
Current Illness: Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: HUPFIZER INC2021560189

Write-up: sudden death cause unknown; This is a spontaneous report from a contactable physician. This is a report received from the Regulatory Authority report. A 68-year-old female patient received BNT162b2 (COMIRNATY), intramuscular, administered in Arm Left on 07Apr2021 (Batch/Lot Number: EW2239) as 0.3ml, single for Covid-19 immunization. Medical history included ongoing hypertension. Concomitant medications included acetylsalicylic acid (ASTRIX); hydrochlorothiazide, ramipril (MERAMYL HCT); bisoprolol fumarate (BISOBLOCK), all taken for an unspecified indication, start and stop date were not reported. The patient experienced sudden death on 10Apr2021. On 07Apr2021, the 68-year-old female patient received BNT162b2. On 10Apr2021, her son found the patient dead at her home. Presumably, she could feel bad, so she took a chair to the open window and was found lying next to her. The patient died on 10Apr2021. The cause of death was unknown. The autopsy was initiated at the time of the report. Results are not available. According to the reporter physician, the relationship between the reported death and the vaccine is unlikely. Sender Comment: The 68-year-old patient died 3 days after Comirnaty vaccination. Dechallenge and rechallenge were not applicable. The causal relationship between the suspected drug and the events is considered not assessable per lack of information. The case is considered serious due to fatal outcome. No follow-up attempts possible. No further information expected.; Sender''s Comments: Based on the limited information available, until additional data surrounding the fatal event becomes available, the company, as a cautionary measure and for reporting purposes, cannot completely exclude that the patient''s sudden death, cause unknown, is related to the suspect drug Comirnaty. The impacts of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: sudden death


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