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KUTV 2NEWS

COVID-19 vaccine: Deaths in Utahns who’ve taken at least one dose


As of March 3, the CDC has received reports of 97,458 adverse events
with 1,381 deaths in people who have taken at least one dose of the
approved COVID-19 vaccines. (Those statistics are constantly changing.)
Four of those reported deaths were made in Utah through VAERS either by
caregivers or loved ones of those who received at least one dose of a
COVID-19 vaccine.
For all reports, the CDC notes that “submitting a report to VAERS does not
mean that healthcare personnel or the vaccine caused or contributed to the
adverse event (possible side effect).”
Current deaths of Utahns reported to the CDC’s VAERS are as follows
(data retrieved by 2News on March 3, 2021):
Report 1: 83-year-old female
Details for VAERS ID: 0962308-1
Event Information Event Categories
Patient Age Sex Female Death Yes
Utah Date 2021-01- Life No
State / Report 21 Threatening
Territory Complete
d Permanent No
Disability
Date 2021-01-
Date Congenital No
Report 21
Vaccinated Anomaly /
Received
Birth Defect *
Date of
Date Died Hospitalized No
Onset
Days to onset Days in Non
Hospital e
Vaccine Unknown Vaccine Not
Administere Purchased Applicabl Existing No
d By By e* Hospitalizatio
n Prolonged
Mfr/Imm USPFIZER Report 2
Project INC202104565 Form Emergency N/A
Number 9 Version Room / Office
Visit **
Recovered No Serious Yes
* VAERS 2.0 Report Form Only Emergency No
Room *
** VAERS-1 Report Form Only
"Not Applicable" will appear when information is not Office Visit * No
available on this report form version.
* VAERS 2.0 Report
Form Only
** VAERS-1 Report
Form Only
"N/A" will appear
when information is
not available on this
report form version.

Vaccine
Vaccine Manufacturer Lot Dose Route Site
Type

COVID19
COVID19 (COVID19
PFIZER\BIONTECH NONE UNK
VACCINE (PFIZER-
BIONTECH))

Symptom

DEATH

Adverse Event Description

died; This is a spontaneous report from a Pfizer-sponsored program. A


contactable consumer reported that an 83-year-old female patient (reporter
mother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE,
Solution for injection), via an unspecified route of administration on an
unspecified date at single dose for covid-19 immunization. Medical history
included hospice care and dementia. The patient's concomitant medications
were not reported. The patient died one day after getting vaccine. She was
reportedly in good health the day before receiving vaccine. She was on
hospice, frail, but in good condition and checked by a hospice nurse the day
before which she reported her in good health considering. She was with
dementia but stable in her health. The reporter read investigating 23 deaths
of people receiving vaccine in similar conditions. The patient died on an
unspecified date. It was not reported if an autopsy was performed.;
Reported Cause(s) of Death: died

Lab Data Current Illness Adverse Events After Prior Vaccinations

Medications At Time
History/Allergies
Of Vaccination

Medical History/Concurrent Conditions: Dementia;


Hospice care (on hospice, frail, but in good
condition),

Report 2: 83-year-old female


Details for VAERS ID: 0986063-1

Event Information Event Categories


Patient Age 83.00 Sex Female Death Yes
Utah Date 2021-01- Life Threatening No
State /
Report 29
Territory Permanent No
Completed
Disability
2021- Date 2021-01-
Date Congenital No
01-12 Report 29
Vaccinated Anomaly / Birth
Received
Defect *
2021- 2021-01-
Date of Onset Date Died Hospitalized No
01-16 16
Days to onset 4 Days in Hospital None
Vaccine Senior Vaccine Not Existing No
Administered Living Purchased Applicable Hospitalization
By * By * Prolonged
Mfr/Imm NONE Report 2 Emergency Room / N/A
Project Form Office Visit **
Number Version
Emergency Room * No
Recovered No Serious Yes
Office Visit * No
* VAERS 2.0 Report Form Only
** VAERS-1 Report Form Only * VAERS 2.0 Report Form
"Not Applicable" will appear when information is not Only
available on this report form version. ** VAERS-1 Report Form
Only
"N/A" will appear when
information is not available
on this report form version.

Vaccine Type Vaccine Manufacturer Lot Dose Route Site

COVID19 COVID19 (COVID19


PFIZER\BIONTECH NONE 1 IM RA
VACCINE (PFIZER-BIONTECH))

Symptom

DEATH

Adverse Event Description

Resident was vaccinated on 1/13/21. Resident passed away on 1/16/21

Adverse Events
Lab Data Current Illness After Prior
Vaccinations
COPD, CHF, Major Depressive Disorder,
No tests/results Anxiety, Respiratory Failure, Insomnia,
pertaining to this OsteoArthritis, Hypertension, Irritable Bowel
incident. Syndrome, Atrial Fibrillation, COVID
recovered

Medications At Time Of Vaccination History/Allergies

Cholestyramine, Duloxetine, Fiber, Haloperidol,


Resident was a Hospice
Hyoscyamine, Lisinopril, Lorazepam, Metoprolol,
Patient as of:
Morphine, Nystatin powder, Pepto Bismol, Seroquel,
11/17/2020,No Known
Spiriva, Symbicort, Tramadol, Tylenol, Vistaril,
Allergies
Zolpidem

Report 3: 86-year-old male


Details for VAERS ID: 1032662-1
Event Information Event Categories
Patient Age 86.00 Sex Male Death Yes
Utah Date 2021-02- Life Threatening No
State /
Report 16
Territory Permanent No
Completed
Disability
2021- Date 2021-02-
Date Congenital No
01-25 Report 16
Vaccinated Anomaly / Birth
Received
Defect *
2021- 2021-02-
Date of Onset Date Died Hospitalized No
02-05 05
Days to onset 11 Days in Hospital None

Vaccine Public Vaccine Not Existing No


Administered Purchased Applicable Hospitalization
By By * Prolonged
Mfr/Imm NONE Report 2 Emergency Room / N/A
Project Form Office Visit **
Number Version
Emergency Room * No
Recovered No Serious Yes
Office Visit * No
* VAERS 2.0 Report Form Only
* VAERS 2.0 Report Form
** VAERS-1 Report Form Only
Only
"Not Applicable" will appear when information is
** VAERS-1 Report Form
not available on this report form version.
Only
"N/A" will appear when
information is not
available on this report
form version.

Vaccine
Vaccine Manufacturer Lot Dose Route Site
Type

COVID19
COVID19 (COVID19
PFIZER\BIONTECH EL9261 1 SYR AR
VACCINE (PFIZER-
BIONTECH))

Symptom

DEATH

Adverse Event Description

Death
Lab Adverse Events After Prior
Current Illness
Data Vaccinations

Absolutely none. Unusually


healthy for 86

Medications At Time Of Vaccination History/Allergies

None,
Report 4: 39-year-old female
Details for VAERS ID: 1037207-1
Event Information Event Categories
Patient Age 39.00 Sex Female Death Yes
State / Utah Date Report 2021-02- Life Threatening No
Territory Completed 17
Permanent No
Date 2021- Date Report 2021-02- Disability
Vaccinated 02-01 Received 17
Congenital No
2021- 2021-02- Anomaly / Birth
Date of Onset Date Died
02-02 05 Defect *
Days to onset 1 Hospitalized Yes
Vaccine Private Vaccine Not Days in Hospital 2
Administered Purchased Applicable
By By * Existing No
Hospitalization
Mfr/Imm NONE Report 2 Prolonged
Project Form
Number Version Emergency Room / N/A
Office Visit **
Recovered No Serious Yes
Emergency Room * No
* VAERS 2.0 Report Form Only Office Visit * No
** VAERS-1 Report Form Only
"Not Applicable" will appear when information is
* VAERS 2.0 Report Form
not available on this report form version.
Only
** VAERS-1 Report Form
Only
"N/A" will appear when
information is not
available on this report
form version.

Vaccine
Vaccine Manufacturer Lot Dose Route Site
Type

COVID19 COVID19 (COVID19


MODERNA NONE 2
VACCINE (MODERNA))

Symptom

DEATH

INCOHERENT

INJECTION SITE PAIN

LIVER FUNCTION TEST ABNORMAL

MALAISE

NAUSEA
PYREXIA

URINARY RETENTION

VOMITING

Adverse Event Description

She had pain in the injection site Tuesday night and then during Tuesday
she got worse with nausea and some fever. By Wednesday she was
complaining that she could not pee even though she was drinking a lot of
fluids. She continued to complain it was the worst she ever felt and then at
0600 Thursday morning she woke us up and said she needed to go to the
hospital. We arrived at the hospital just before 0700 and she immediately
threw up in the trash can. We went into a treatment room and they took
blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all
wrong and they started to look for a hospital that could transplant a liver.
She was air evade about 0930 to Medical center and just over 30 hours
latter she was dead. There is a pending autopsy. She was a healthy 39 year
old mother who got the shots because she worked as a surgical tech and
she was the single mother of a 9 year old little girl.

Current Adverse Events After Prior


Lab Data
Illness Vaccinations

contact shock trauma center


none,
and the medical examiner
Medications At Time Of
History/Allergies
Vaccination

birth control, and she trigeminal neuralgia - has been in remission


did do botox since she started doing botox,sulfa drugs