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From the 5/7/2021 release of VAERS data:

This is VAERS ID 882737



Case Details

VAERS ID: 882737 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2020-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Influenza, Pneumonia, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: USGLAXOSMITHKLINEUS2020AM

Write-up: had flu shot and pneumonia shot...she died of the flu that turned into pneumonia; had flu shot and pneumonia shot...she died of the flu that turned into pneumonia; had flu shot and pneumonia shot...she died of the flu that turned into pneumonia; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a female patient who received Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. Co-suspect products included PNEUMOCOCCAL VACCINE (PNEUMONIA SHOT) for prophylaxis. On an unknown date, the patient received Influenza vaccine Quadrivalent unspecified season and PNEUMONIA SHOT. On an unknown date, less than a year after receiving Influenza vaccine Quadrivalent unspecified season, the patient experienced vaccination failure (serious criteria death and GSK medically significant), pneumonia (serious criteria death and GSK medically significant) and influenza (serious criteria death). On an unknown date, the outcome of the vaccination failure, pneumonia and influenza were fatal. The reported cause of death was vaccination failure, pneumonia and influenza. It was unknown if the reporter considered the vaccination failure, pneumonia and influenza to be related to Influenza vaccine Quadrivalent unspecified season. Additional details were provided as follows: The case was reported by patient''s son or daughter. The age at vaccination was not reported. It was reported that the flu shots were risky and not very effective. The patient had flu shot and pneumonia shot. The patient was died of the flu that turned into pneumonia. It was reported that there was wrong strain that year. The case was considered as suspected vaccination failure since the details regarding time to onset and laboratory confirmation was not known; Reported Cause(s) of Death: Vaccination failure; Pneumonia; Influenza


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