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VAERS ID: 1000261

AGE: 46| SEX: F|State: FR

Description

Unclear death; This is a spontaneous report from a non-contactable physician downloaded from the Medicines Agency (MA) WEB DE-PEI-PEI2021001514. A 46-year-old female patient received bnt162b2 (COMIRNATY) (batch no.: EM0477) on 20Jan2021 at a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. 12 hours after vaccination the patient developed unclear death (unknown cause of death) (Jan2021), lasting for unknown. The patient is dead. It was not reported if an autopsy was performed. Reporter's comments: Connection unlikely. No follow-up attempts possible. No further information expected.; Reporter's Comments: Connection unlikely; Reported Cause(s) of Death: Unknown cause of death

Symptoms

Death

Vaccines

VAX DATE: 20 January 2021 | ONSET DATE: 01 January 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        04 February 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        01 January 2021
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        DEPFIZER INC2021088236
        FORM_VERS:
        2
        TODAYS_DATE:
        02 February 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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