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This is VAERS ID 1428758

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428758
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-04-01
Onset:2021-04-10
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-17
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: 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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