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

This is VAERS ID 1339911

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Case Details

VAERS ID: 1339911 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-25
Onset:2021-04-30
   Days after vaccination:64
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6790 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-10
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pneumonia recurrent
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210430; Test Name: Diagnostic procedures were regarded the specific variant of Covid-19; Result Unstructured Data: Test Result: Specific variant of Covid-19
CDC Split Type: NLPFIZER INC2021553987

Write-up: patient was the second resident in nursing home who died of covid19, despite being vaccinated/ Diagnostic procedures were regarded the specific variant of Covid-19; patient was the second resident in nursing home who died of covid19, despite being vaccinated/ Diagnostic procedures were regarded the specific variant of Covid-19; This is a spontaneous report from a contactable physician downloaded from the regulatory authority, regulatory authority number NL-LRB-00537347. A 76-year-old female patient received BNT162B2 (COMIRNATY, Solution for injection), first dose via an unspecified route of administration on 28Jan2021 (batch/lot number unknown) as 0.3ml single dose, second dose via an unspecified route of administration on 25Feb2021 (lot number: EJ6790) as 0.3ml single dose for covid-19 immunization. Medical history included ongoing recurring pneumonia, no previous COVID-19 infection. The patient''s concomitant medications were not reported. The patient died on 10May2021 due to Covid-19 and vaccination failure since 30Apr2021 following administration of covid-19 vaccine Pfizer injection 2 months after start (as reported). Confounding factor was recurring pneumonia. Diagnostic procedures were regarded the British variant of Covid-19 on 30Apr2021. The events were treated with dexamethasone and oxygen therapy. The patient was the second resident in nursing home who died of covid19, despite being vaccinated. The outcome of the events was fatal. It was unknown if an autopsy was performed, cause of death was reported as Covid-19 in known lung disease. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: patient was the second resident in nursing home who died of covid19, despite being vaccinated/ Diagnostic procedures were regarded the British variant of Covid-19; patient was the second resident in nursing home who died of covid19, despite being vac


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