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This is VAERS ID 1339321

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1339321
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-11
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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Diagnostic Lab Data:
CDC 'Split Type': ITPFIZER INC2021566360

Write-up: Unknown cause of death; This is a spontaneous report received from contactable consumer (patient''s brother-in-law). A 59-years-old female patient received BNT162B2 (COMIRNATY), dose 1 via an unspecified route of administration on 09May2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history was none (patient was fine, she did not suffer from any pathology, she did not take drugs). There were no concomitant medications. The patient experienced unknown cause of death on 11May2021. The patient had been subjected to the Pfizer vaccine on 09May2021, without having complained of uncomfortable situations. The morning of 11May2021 (at 7), the patient was found died in bed. The alarm to Emergency medical service was immediately gave, but on the arrival of the health workers there was nothing more to be done. A Healthcare worker collaborator told that probably it was a cardiovascular short circuit. An autopsy was requested to clarify the cause (results were not provided) and if there was a connection with vaccination but a declaration of death has been issued with specified that it was an inexplicable cause. Information on the lot/batch number has been requested.; Reported Cause(s) of Death: Unknown cause of death

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