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

This is VAERS ID 1339908

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Case Details

VAERS ID: 1339908 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:63
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Cardiac failure
SMQs:, Cardiac failure (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-29
   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:
Diagnostic Lab Data:
CDC Split Type: NLPFIZER INC2021544908

Write-up: Death, heart failure; This is a spontaneous report from a contactable consumerl downloaded from the regulatory authority, regulatory authority number NL-LRB-00536831. An 82-year-old female patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on 25Feb2021 as 2nd dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (COMIRNATY) on 18Jan2021 for COVID-19 Immunization. In the evening of 28Apr2021, the patient went to bed fine, but did not wake up the next morning. Remained in a comatose state until she passed away around 3:00 PM (29Apr2021). Cause: heart failure, but her heart had nothing to do with her, super strong. Unclear reason ... people talked about ''acute'' heart failure. There is no previous COVID-19 infection. The patient died on 29Apr2021. It was not reported if an autopsy was performed. No follow-up attempts are possible, information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Death, heart failure

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