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

This is VAERS ID 1845034

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Case Details

VAERS ID: 1845034 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-10-23
Onset:2021-10-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Autopsy, Bronchospasm, Death, Dyspnoea, Loss of consciousness, Vaccination site pain
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-10-24
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211024; Test Name: Autopsy; Result Unstructured Data: Test Result:spontaneous bronchospasm; Comments: Incomplete, final results awaited
CDC Split Type: MYPFIZER INC202101484694

Write-up: was found unconscious; breathing difficulties; autopsy was performed on the same day at 3:40pm and found there was spontaneous bronchospasm; he was pronounced dead on the same day; injection site pain; This is a spontaneous report from an Internet Source from a non-contactable consumer via Pfizer colleague. A 15-year-old male patient received bnt162b2 (COMIRNATY) via an unknown route of administration on 23Oct2021 (at the age of 15-year-old) (Batch/Lot number: Not provided), dose 2, single for COVID-19 immunization, received at his school. The patient medical history and concomitant medications were not reported. The patient did not have any allergies to previous vaccines or medications and was not known to have any chronic illness. The patient received COVID-19 Vaccine (COVID-19 Vaccine, MANUFACTURER UNKNOWN) via an unknown route of administration on 23Oct2021 (Batch/Lot number: Not provided), dose 1, single for COVID-19 immunization. Patient also did not report any problems or complications after receiving the first dose injection. The patient experienced injection site pain (non-serious) on 23Oct2021 with outcome of unknown, breathing difficulties (hospitalization) on 24Oct2021 09:30 with outcome of unknown, was found unconscious (hospitalization) on 24Oct2021 09:30 with outcome of unknown, autopsy was performed on the same day at 3:40pm and found there was spontaneous bronchospasm (death) on 24Oct2021 10:40, he was pronounced dead on the same day (death) on 24Oct2021 10:40. The patient was hospitalized for breathing difficulties and was found unconscious from 24Oct2021 for 1 day. Therapeutic measures were taken as a result of breathing difficulties, was found unconscious. The patient died on 24Oct2021. An autopsy was performed that revealed found there was spontaneous bronchospasm. The clinical course of events was as follows: He was reported to have had injection site pain only. However a day after he received his second jab, he was found to have suffered from breathing difficulties and then was found unconscious at his home at about 9.30am. Patient was rushed to the private hospital here but he was pronounced dead on the same day (24Oct2021) at 10.40am. An autopsy was performed on the same day at 3.40pm and found there was spontaneous bronchospasm. All tissue samples in the body were sent for further examination by a hospital''s pathology forensic physician. The autopsy report is categorised as still incomplete because there are still tests that have not been received. A complete autopsy report to find out the cause of his death, is awaited. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Autopsy-determined Cause(s) of Death: found there was spontaneous bronchospasm


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