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VAERS ID: 1000380

AGE: UNK| SEX: F|State: FR

Description

27.1; Death of unknown cause; This is a spontaneous report from a contactable physician. This is a report received from the HA. Regulatory authority report number GB-MHRA-WEBCOVID-202101280855444210, Safety Report Unique Identifier GB-MHRA-ADR 24657685. A 79-year-old female patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 21Jan2021 at single dose for covid-19 immunisation. Medical history included Hypertension, OA, Prediabetes, Pacemaker for heart block. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient is not enrolled in clinical trial. Concomitant medication included atorvastatin for hypertension from 09Jan2015, ibuprofen for Arthritis from 07Jul2016, omeprazole from 17Dec2019, Ramipril for hypertension from 17Oct2014. The patient experienced death of unknown cause on 27Jan2021, 27.1 (pruritus) on an unspecified date. The patient died on 27Jan2021. An autopsy was not performed. Referred to coroner and for post mortem examination. It would be likely that this death is cardiovascular )MI/CVA etc) but given the recent vaccination we thought it prudent to report it. Patient has not tested positive for COVID-19 since having the vaccine. The outcome of the event death was fatal, of the event pruritus was unknown. No follow-up attempts possible; information regarding batch/lot cannot be obtained; No further information expected.; Reported Cause(s) of Death: Death of unknown cause

Symptoms

Death

Vaccines

VAX DATE: 20 January 2021 | ONSET DATE: 26 January 2021 | DAYS TO ONSET: 6
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
Y
DATEDIED:
26 January 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
ATORVASTATIN; IBUPROFEN; OMEPRAZOLE; RAMIPRIL
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Artificial cardiac pacemaker user; Heart block; Hypertension; Osteoarthritis; Prediabetes
PRIOR_VAX:
SPLTTYPE:
GBPFIZER INC2021091648
FORM_VERS:
2
TODAYS_DATE:
02 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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