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This is VAERS ID 1344970

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1344970
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-29
Onset:2021-05-03
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX6537 / 1 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-03
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: Medical History/Concurrent Conditions: COPD
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': HUPFIZER INC2021572835

Write-up: sudden death (died suddenly, died 4 days after Comirnaty vaccination); This is a spontaneous report from a contactable physician downloaded from the regulatory authority HU-OGYI-319321. A 79-years-old male patient received BNT162B2 (COMIRNATY), first dose intramuscularly administered in left arm on 29Apr2021 (Batch/Lot Number: EX6537) as 0.3 mL single dose for covid-19 immunisation. Medical history included chronic obstructive pulmonary disease (COPD) and was not ongoing. The patient''s concomitant medications were not reported. The patient experienced sudden death (died suddenly, died 4 days after Comirnaty vaccination) on 03May2021. There was no information about the cause of death and about the autopsy results. The patient died on 03May2021. It was not reported if an autopsy was performed. The causal relationship between the reported death and Comirnaty was unassessable. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: sudden death

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