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This is VAERS ID 1342766

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1342766
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-05-04
Onset:2021-05-07
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Body temperature decreased, Hypotension, Hypoxia, Unresponsive to stimuli, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Allergies:
Diagnostic Lab Data: Test Date: 20210507; Test Name: Body temperature; Result Unstructured Data: Test Result:decreased
CDC 'Split Type': AUPFIZER INC2021562782

Write-up: Body temperature decreased; Hypotension; Hypoxia; Unresponsive to stimuli; Wheezing; This is a spontaneous report from a contactable other health professional via the Regulatory Authority. Regulatory authority report number is 551850. An 81-year-old female patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on 04May2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient experienced body temperature decreased, hypotension, hypoxia, unresponsive to stimuli, wheezing, all on 07May2021 and caused death. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Body temperature decreased; Hypotension; Hypoxia; Unresponsive to stimuli; Wheezing

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