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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1342835

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Case Details

VAERS ID: 1342835 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-27
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX3599 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Atrial fibrillation; Hypertension; Insufficiency cerebrovascular; Renal insufficiency; Type II diabetes mellitus
Preexisting Conditions: Medical History/Concurrent Conditions: Apoplexy
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021579689

Write-up: Infarct myocardial; Death sudden; This is a spontaneous report from a non-contactable physician downloaded from the Agency Regulatory Authority-WEB DE-PEI-202100069973. An 81-year-old female patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on 27Apr2021 (Batch/Lot Number: EX3599) as 0.3ML single dose for covid-19 immunisation (vaccination age was 81-year-old). Medical history included ongoing hypertension, apoplexy from an unknown date and not ongoing, ongoing renal insufficiency, ongoing type II diabetes mellitus, ongoing insufficiency cerebrovascular and ongoing atrial fibrillation. The patient''s concomitant medications were not reported. The patient experienced infarct myocardial on an unspecified date in 2021. The patient was death sudden on an unspecified date in 2021. 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: Infarct myocardial; Death sudden


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