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This is VAERS ID 1344987

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1344987
VAERS Form:2
Age:77.0
Sex:Male
Location:Foreign
Vaccinated:2021-04-23
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX2405 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Angiopathy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-23
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: Atrial fibrillation; Chronic kidney disease stage 3; Diverticular disease; IHD; Prostate cancer
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IEPFIZER INC2021553710

Write-up: ABDOMINAL PAIN; LIKELY VASCULAR EVENT; This is a spontaneous report from contactable Physician downloaded from a regulatory authority-WEB IE-HPRA-2021-072610. A 77-year-old male patient received second dose bnt162b2 (COMIRNATY), via an unspecified route of administration on 23Apr2021 (Batch/Lot Number: EX2405) at 0.3 ml, single for COVID-19 immunisation. The patient''s medical history included chronic kidney disease (CKD3), prostate cancer, atrial fibrillation, ischemic heart disease (IHD), and diverticular disease. The patient''s concomitant medications were not reported. The patient previously received first dose bnt162b2 (COMIRNATY) via an unspecified route of administration on 25Mar2021 (Batch/Lot Number: Unknown) at 0.3 mL, single for COVID-19 immunisation. On 23Apr2021, the patient experienced abdominal pain and died 12 hours post-vaccination. The reporter outlined that the cause of death was likely a vascular event, which they were awaiting post-mortem results to confirm. The patient died on an unspecified date in 23Apr2021. It was not reported if an autopsy was performed. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: ABDOMINAL PAIN; LIKELY VASCULAR EVENT

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