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This is VAERS ID 1342833

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1342833
VAERS Form:2
Age:86.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ8723 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
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:
CDC 'Split Type': DEPFIZER INC2021572958

Write-up: Sudden death unexplained; This is a spontaneous report from a non-contactable physician downloaded from the regulatory authority, regulatory authority number DE-PEI-202100069081. An 86-year-old female patient received BNT162B2 (COMIRNATY, strength: 0.3 ml), via an unspecified route of administration on 05Feb2021 (at age of 86 years old) (lot number: EJ8723) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. On 06Feb2021, the patient experienced sudden death unexplained. This report was serious - death. The event outcome was fatal. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Sudden death, cause unknown

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