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

This is VAERS ID 1342856

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Case Details

VAERS ID: 1342856 (history)  
Form: Version 2.0  
Sex: Male  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Death

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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021574483

Write-up: died; This is a spontaneous report based on information received by Pfizer from Biontech [manufacturer control number: 55578, license party for COMIRNATY. A contactable consumer reported that a male patient of an unspecified age received BNT162B2 (COMIRNATY, Solution for injection, lot/batch number not provided), via an unspecified route of administration (at unknown age) on an unspecified date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient died on an unspecified date. It was unknown if an autopsy was performed. information on the lot/batch number has been requested. ; Reported Cause(s) of Death: died

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