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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1428758

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Case Details

VAERS ID: 1428758 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-01
Onset:2021-04-10
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET7205 / 2 RA / OT

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Cerebral ischaemia, Coma, Paresis
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Supraventricular tachyarrhythmias (narrow), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-17
   Days after onset: 7
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: Medical History/Concurrent Conditions: Arthritis rheumatoid; Diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021687995

Write-up: paresis; Coma; cerebral ischaemia; atrial fibrillations; This is a spontaneous report received from a contactable consumer downloaded from a regulatory authority-WEB. The regulatory authority report number is IT-MINISAL02-740023. A 80 years old female patient received second dose BNT162B2 (COMIRNATY, lot number ET7205), intramuscular at Arm Right on 01APR2021 at single dose for SARS-CoV-2 vaccination. The medical history included Diabetes and Arthritis rheumatoid. The concomitant medications were not reported. At 9 days after second dose on 10APR2021, the patient experienced cerebral ischaemia, paresis, atrial fibrillations, coma and death after 7 days on 17APR2021. The patient died on 17APR2021. It''s unknown if an autopsy was performed. The cause of death was cerebral ischaemia, paresis, atrial fibrillations, coma. The outcome of the event was fatal. Reporter''s comments:Rheumatoid arthritis, diabetes No follow-up attempts possible. No further information expected.; Reporter''s Comments: Rheumatoid arthritis, diabetes; Reported Cause(s) of Death: paresis; Coma; cerebral ischaemia; atrial fibrillations


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