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

This is VAERS ID 889815

Case Details

VAERS ID: 889815 (history)  
Form: Version 2.0  
Sex: Female  
Location: Unknown  
Submitted: 0000-00-00
Entered: 2020-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Influenza
SMQs:, Infective pneumonia (broad), 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:
Diagnostic Lab Data:
CDC Split Type: USSA2020SA285007

Write-up: deathly ill with the flu until it finally killed her; Initial information received on 07-Oct-2020 regarding an unsolicited valid serious social media case from a consumer/non-health care professional via public post on the Sanofi flu shot campaign. This case involves female patient (unknown age) who was deathly ill with the flu until it finally killed her (influenza), while she received INFLUENZA VACCINE. The patient''s past vaccinations included flu shots (INFLUENZA VACCINE) every year and every year she was deathly ill with the flu. Concomitant medication(s), medical treatment(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer lot number and expiration date were not reported) via an unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient was deathly ill with the flu and that it finally killed her (influenza) (serious) (Unknown latency) following the administration of INFLUENZA VACCINE. This event was leading to death. No laboratory data reported. It was not reported if the patient received a corrective treatment. The outcome of the event Influenza was fatal as the patient died due to it on an unknown date. It was not reported whether the autopsy was done or not and the cause of death was reported as Influenza. Information on the batch number to be requested.; Sender''s Comments: A case was reported which involves a female patient of unknown age who died due to influenza, after vaccination with INFLUENZA VACCINE (unknown manufacturer). Time to onset was unknown. The patient used to have flu shots every year and had got ill every time in the past. Additional information regarding patient''s relevant medical history, health condition at time of vaccination, concomitant medication and Laboratory tests, autopsy results is needed for complete assessment of the case. Thus, a role of the vaccine could not be assessed.; Reported Cause(s) of Death: deathly ill with the flu until it finally killed her

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