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This is VAERS ID 1348004

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1348004
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-03-31
Onset:2021-04-26
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER9470 / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Blood culture, Computerised tomogram, Vaccination failure, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-06
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: AFib; Ischaemic heart disease (Stented ischemic heart disease)
Preexisting Conditions: Medical History/Concurrent Conditions: Appendectomy; Arrhythmia (complete arrhythmia by atrial fibrillation anticoagulated and treated with amiodarone); BPH (benign prostatic hyperplasia with 2 transurethral resection of the prostate); Cataract (left); Cholecystectomy; Defibrillation; Glaucoma; Hypotension (Syncope due to severe hypotension, hospitalized in 2014 with malaise); Knee meniscectomy; Malaise (Syncope due to severe hypotension, hospitalized in 2014 with malaise); Pacemaker insertion (cardiac); Parkinson''s disease; Right inguinal hernia; Syncope (Syncope due to severe hypotension, hospitalized in 2014 with malaise); Transurethral prostatectomy
Allergies:
Diagnostic Lab Data: Test Name: blood culture; Test Result: Negative ; Test Name: Computerised tomography chest scan; Result Unstructured Data: Test Result:in favour; Test Date: 20210426; Test Name: COVID-19 virus test positive; Test Result: Positive
CDC 'Split Type': FRPFIZER INC2021572956

Write-up: Vaccination failure; covid-19/respiratory distress; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number FR-AFSSAPS-2021053331. A 93-year-old male patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 31Mar2021 (Batch/Lot Number: ER9470) as single dose; dose 1 via an unspecified route of administration on Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunization. Medical history included ongoing stented ischemic heart disease, ongoing atrial fibrillation, Syncope due to severe hypotension and hospitalized in 2014 with malaise, complete arrhythmia by atrial fibrillation anticoagulated and treated with amiodarone (defibrillation on 10Sep2014), pacemaker in 2015, benign prostatic hypertrophy (2 transurethral resections of the prostate), glaucoma, cataract left eye, cholecystectomy, appendicectomy, Right inguinal hernia cure, Meniscectomy right knee and Parkinson''s (as reported). The patient had no allergy. The patient''s concomitant medications were not reported. Patient who completed his complete vaccination schedule with Comirnaty with administration of the 2nd dose on 31Mar2021. The patient had COVID on 26Apr2021 (26 days after the 2nd dose). Computerized tomography chest scan in favour. Negative blood culture. The patient was however placed on antibiotics. Death of the patient from respiratory distress on 06May2021. Overall, vaccine failure with COVID-19 infection 26 days after the 2nd dose of Comirnaty. The patient was hospitalized due to the event. The patient underwent lab tests and procedures which included COVID-19 virus test positive on 26Apr2021. The patient died on 06May2021. It was not reported if an autopsy was performed. No follow-up attempts possible. No further information expected. Information on batch/lot number already obtained.; Reported Cause(s) of Death: COVID-19; Distress respiratory/COVID-19

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