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This is VAERS ID 1342834

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1342834
VAERS Form:2
Age:46.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-12
Onset:2021-05-12
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX8680 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-12
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 INC2021572960

Write-up: Sudden death unexplained; This is a spontaneous report from a non-contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number DE-PEI-202100069738. A 46-year-old male patient received BNT162B2 (COMIRNATY, Solution for injection), strength: 0.3ml (as reported), via an unspecified route of administration at age of 46 years old on 12May2021 (Batch/Lot Number: EX8680) as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced sudden death unexplained on 12May2021, 12 hours after beginning of drug administration. The regulatory authority Regulatory Authority assessed causality between BNT162b2 and event death to be unclassifiable. The patient died on 12May2021. An autopsy was planned (not done yet). No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Sudden death unexplained

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