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This is VAERS ID 1339304

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1339304
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-05-07
Submitted:0000-00-00
Entered:2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Vaccination failure, SARS-CoV-2 test positive, Asymptomatic COVID-19

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-07
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: Aortocoronary bypass (chronic ischemic heart disease (two aortocoronary bypasses about 25 years ago)); Arterial hypertension; Atrial fibrillation; Chronic ischemic heart disease, unspecified
Allergies:
Diagnostic Lab Data: Test Date: 20210427; Test Name: Sars-cov-2 molecular test; Test Result: Positive
CDC 'Split Type': ITPFIZER INC2021560678

Write-up: THE PATIENT DIED AT HOME ON 05.07.2021, ASYMPTOMATIC BUT POSITIVE TO COVID-19, MOLECULAR SWAB OF 04.27.2021, VACCINATED WITH PFIZER BIONTECH 2 DOSES; THE PATIENT DIED AT HOME ON 05.07.2021, ASYMPTOMATIC BUT POSITIVE TO COVID-19, MOLECULAR SWAB OF 04.27.2021, VACCINATED WITH PFIZER BIONTECH 2 DOSES; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB, regulatory authority number IT-MINISAL02-728833. A 95-years-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 18Mar2021 09:46 (Batch/Lot Number: EP9598) as 2ND DOSE, SINGLE, dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included chronic ischemic heart disease (two aortocoronary bypasses about 25 years ago), atrial fibrillation, arterial hypertension, all from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced the patient died at home on 07May2021, asymptomatic but positive to covid-19, molecular swab of 27Apr2021, vaccinated with pfizer biontech 2 doses on 07May2021. The patient underwent lab tests which included sars-cov-2 test positive: positive on 27Apr2021. The patient died on 07May2021. It was not reported if an autopsy was performed. Reporter''s comment: The patient died on 07May2021, tested positive for Covid-19 with a molecular swab on 27APR21. Vaccinated with two administrations of PFIZER COMIRNATY; in anamnesis: chronic ischemic heart disease (two aortocoronary bypasses about 25 years ago), atrial fibrillation, arterial hypertension. No follow up attempts needed, no further information is expected; Reported Cause(s) of Death: THE PATIENT DIED AT HOME ON 05.07.2021, ASYMPTOMATIC BUT POSITIVE TO COVID-19, MOLECULAR SWAB OF 04.27.2021, VACCINATED WITH PFIZER BIONTECH 2 DOSES; THE PATIENT DIED AT HOME ON 05.07.2021, ASYMPTOMATIC BUT POSITIVE TO COVID-19, MOLECULAR SWAB OF 04.

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