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From the 7/16/2021 release of VAERS data:

This is VAERS ID 1429457



Case Details

VAERS ID: 1429457 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-13
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiomegaly, Myocarditis, Pericardial effusion
SMQs:, Cardiac failure (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-06-01
   Days after onset: 0
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: USPFIZER INC2021752789

Write-up: myocarditis in young men receiving their 2nd @pfizer shot/ Have others died from it or is my nephew the first; heart was enlarged and there was some fluid surrounding it; heart was enlarged and there was some fluid surroundin it; This is a spontaneous report from a non-contactable consumer or other non hcp (patient''s aunt). A 13-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0217 and expiry date not reported), dose 2 via an unspecified route of administration on 13Jun2021 (at the age of 13 years) as dose 2, single for covid-19 immunisation. The patient received the first dose, bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0168 and expiry date not reported) on 03May2021 (at the age of 13 years) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. Patient had no known health problems, was healthy and was on no medications. Reportedly, patient died less than 3 days later of 2nd covid shot. The initial autopsy results (done Friday) were that his heart was enlarged and there was some fluid surrounding it. The team speculated the patient said he had a cardiac event. Reporter stated that there have been cases of myocarditis in young men receiving their 2nd pfizer shot, have others died from it or was patient the first. Reporter stated that the vaccine was saving millions of lives, she knows it was mostly safe but the patient died. Reporter stated that if patient had not received the 2nd shot. we believe he would be alive today. A vaccine for a virus he had a 99.99% chance of surviving. Patient did not receive any treatment. Outcome of all the events was fatal.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021757528 Same reporter, same drug, different patient; Reported Cause(s) of Death: His heart was enlarged and there was some fluid surrounding it; His heart was enlarged and there was some fluid surrounding it


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