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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1347944

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Case Details

VAERS ID: 1347944 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac disorder
SMQs:

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021571448

Write-up: cardiac disorder; This is a spontaneous report based on information received by Pfizer from Biontech [manufacturer control number: 55711], license party for COMIRNATY. This is a spontaneous report from a contactable other healthcare professional (HCP). A male patient of an unspecified age received first dose of BNT162B2 (COMIRNATY) via unspecified route single dose for COVID-19 immunisation on unspecified date. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient experienced cardiac disorder on an unspecified date. The patient died on an unspecified date. It was reported the patient died after 1. dose (not vaccine related, he had cardiac problems). It was unknown if an autopsy was performed. Outcome of the event was fatal. Lot/batch number has been requested.; Sender''s Comments: Based on the current available information, the event cardiac disorder is most likely related to an intercurrent or underlying condition which is not related to the suspected drug. The case will be reassessed if additional information becomes available.; Reported Cause(s) of Death: cardiac disorder


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