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VAERS ID: 1000277

AGE: 92| SEX: F|State: FR

Description

Death unexplained; tired; This is a spontaneous report from a contactable physician downloaded from the Medicines Agency (MA) WEB regulatory authority FR-AFSSAPS-LY20210170. A 92-years-old female patient received her first dose bnt162b2 (COMIRNATY), lot number: EM0477, intramuscular on 15Jan2021 at single dose for covid-19 immunisation. Medical history included basedow's disease from an unknown date and unknown if ongoing. Usual treatment was L Throxine. The patient's concomitant medications were not reported. On 15Jan2021, the patient received a first dose of bnt162b2 vaccine, her neighbors saw her in the evening and she reported being tired. On 17Jan2021 the neighbors heard a falling noise and found the deceased patient. The patient died unexplained on 17Jan2021. The outcome of event tired was unknown. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Death unexplained

Symptoms

Death, Fatigue

Vaccines

VAX DATE: 14 January 2021 | ONSET DATE: 14 January 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • OT
  • EM 0477

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
Y
DATEDIED:
16 January 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Basedow's disease
PRIOR_VAX:
SPLTTYPE:
FRPFIZER INC2021088328
FORM_VERS:
2
TODAYS_DATE:
01 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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