<figure id="attachment_286695" aria-describedby="caption-attachment-286695" style="width: 759px" class="wp-caption alignnone"><a href="#" data-ident_hash="8d1630d0"><img src="https://res.cloudinary.com/fridaydigital/image/private/t_article_image/wpmedia/2022/12/2022111711736.jpg" alt=""></a><figcaption id="caption-attachment-286695" class="wp-caption-text">On November 17, her husband, Eiji, holds a press conference with Ayano Iioka&#8217;s portrait by his side (Photo: Kyodo News)</figcaption></figure>
 I want to know why my wife died.
 On December 5, one month after the death of a woman in Aisai City, Aichi Prefecture, following inoculation with a new type of corona vaccine. The woman&#8217;s husband again demanded an investigation into the cause of his wife&#8217;s death.
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 The man&#8217;s wife, Ayano Iioka, died on November 5 at a mass vaccination site in Aisai City after her condition suddenly changed immediately after receiving the novel corona vaccine, and the government&#8217;s response to investigate the cause of death was exceptionally fast. With the arrival of the 8th wave of vaccination and the need to accelerate vaccination, it is likely that the government decided that this death should not be used as a brake.
 First, on November 11, the Ministry of Health, Labor, and Welfare (MHLW) released a report from the field as &#8220;a case reported as suspected anaphylaxis. The announcement was made less than a week after the case occurred, which can be said to be exceptionally fast. However, in the same report, after the first report of &#8220;suspected anaphylaxis,&#8221; there was a second report that denied the first report, stating that the case was reported as &#8220;suspected anaphylaxis, but reported as other reactions,&#8221; indicating the confusion at the site.
 On November 17, the Aichi Medical Association held a press conference and announced its opinion that &#8220;if anaphylaxis is suspected, the patient should have received a muscular injection of adrenaline (deployed at the site) without hesitation in diagnosis, &#8221; since the case was after vaccination and the possibility of the most severe anaphylactic shock was strongly suspected. The doctor made public his opinion that &#8220;if anaphylaxis was suspected, he should have given an intramuscular injection of adrenaline (which was deployed at the venue) without hesitation in diagnosis. However, he explained that even if adrenaline had been administered at the time the doctor was called, it would likely not have saved the patient&#8217;s life if he had been suffering from the most severe form of anaphylactic shock, and it cannot be ruled out that the cause of death was acute left heart failure.
 The analysis was conducted by the Medical Safety Committee, consisting of members recommended by each medical association, as well as experts in emergency medical care and vaccination, lawyers, and others. We also obtained information from nurses who were working at the time and doctors at the hospital to which the patient was transported for emergency care.
 However, no postmortem pathological autopsy was conducted, and the final pathological condition has not yet been clarified. After confirming her death at the hospital to which she was transported, &#8220;the doctor asked the bereaved family whether a pathological autopsy had been performed, but there was no response, and because the family was stunned, no further confirmation was made,&#8221; according to a statement in the deceased woman&#8217;s medical record.
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 However, Iioka&#8217;s husband, Eiji, told FRIDAY Digital, &#8220;I have not heard about the pathological autopsy.
 I never heard about the pathological autopsy. After my wife passed away, my parents were with me and we saw the AI (autopsy imaging = imaging at the time of death) after she passed away. Her parents and family also came to the hospital 30 minutes later. If I was truly in no condition to confirm her wishes, there would have been a way to check with other family members besides me, but none of them were asked about the pathological autopsy. According to the published information, &#8216;I asked the family whether or not a pathological autopsy would be performed, but the family was so stunned that no further confirmation was made,&#8217; which is written in the hospital&#8217;s medical records, but at least not in the records I saw.
<div data-friday-nextpage-lead=" Confusion in the field revealed by the MHLW report"></div>
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<figure id="attachment_286832" aria-describedby="caption-attachment-286832" style="width: 773px" class="wp-caption alignnone"><a href="#" data-ident_hash="54b2edf4"><img src="https://res.cloudinary.com/fridaydigital/image/private/t_article_image/wpmedia/2022/12/ceb5be5714bfc1187256915b041da5c4-2.jpg" alt=""></a><figcaption id="caption-attachment-286832" class="wp-caption-text">Part of the report published by the Ministry of Health, Labour and Welfare. The red-lined section shows a discrepancy in opinion between the reporting physician 1 first report as &#8220;a case reported as suspected anaphylaxis&#8221; and the reporting physician 1 second report as &#8220;a case reported as suspected anaphylaxis but reported as other reactions as a second method.</figcaption></figure>
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 Mr. Iioka&#8217;s family was forced to cremate their loved one without being approached about whether or not a pathological autopsy would be performed. Investigating the cause of death is essential not only to relieve the regret of the deceased, but also to reduce the number of deaths. If we know what happened in a person&#8217;s body that led to death and whether it was caused by vaccination, we can take preemptive measures to prevent a serious situation from arising. In this sense, the investigation of the cause of death is medicine for the living. Is it really possible to determine the cause of death any further? We interviewed Ayumi Motomura, a forensic scientist and lecturer at the International University of Health and Welfare, School of Medicine.
 &#8212; Is it possible to further investigate the cause of the woman&#8217;s death?
 Considering that this is a special case in which the woman died immediately after vaccination, it is unfortunate that the autopsy has not been conducted, as it may have narrowed down the issues if the cause of death had been investigated by autopsy.
 Since we do not have the autopsy findings, we have no choice but to speculate based on the opinions of the experts, using the circumstances before and after the vaccination, the course of events up to the time of death, and, if available, the imaging findings.
 &#8211;Isn&#8217;t it strange that they didn&#8217;t do an autopsy even though it was an &#8220;unusual death&#8221;?
 It is true that the patient in this case died of a sudden change in health at the vaccination site, not that he &#8220;died of an endogenous disease that was definitely diagnosed before his death,&#8221; and at least in the medical interview immediately before the vaccination, it should have been determined that there was nothing wrong with his health condition.
 Therefore, if the doctor in charge of the case had determined that it was a case that fell under the category of &#8220;notification of unusual death&#8221; under Article 21 of the Medical Practitioners Act, it might have been submitted to a forensic autopsy for cause of death and background investigation, along with information from the police investigation.
 &#8211;Since the vaccination program began, there have been 1,908 cases of death after vaccination, but only 10 cases have been found to be causally related and have resulted in compensation. The majority of these cases have been found to have no causal relationship to the vaccine, or no causal relationship due to lack of information.
 There is a system for reporting suspected cases of adverse reactions after vaccination, so if a link is suspected, the field office will report it. However, since there is insufficient information at the stage of examining the relationship, I think we have no choice but to say that &#8220;the relationship is unknown. Various papers have demonstrated the short-term effectiveness of the novel coronavirus vaccine, and detailed individual studies are needed to examine the safety of the vaccine.
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 While many physicians remain tight-lipped about possible causes of death because they cannot reach the &#8220;real cause&#8221; due to the lack of a pathological autopsy, which would provide a clue to the cause of death, Dr. O, an emergency physician working at a general hospital in Saitama Prefecture, expressed one clear view. Dr. O, who has interviewed more than 2,000 people at vaccination centers in Tokyo and three other prefectures, juxtaposed his own experience with published reports.
 We believe that the woman died of acute heart failure, not anaphylaxis.
 The doctor in charge of the case did not administer two adrenaline (EpiPens) even though they were deployed at the venue, not because he was hesitant to diagnose (anaphylactic shock), but for another possible reason, he said.
 The report states that the woman not only had pre-existing hypertension, diabetes, and sleep apnea, but also weighed an estimated 110 kg, which would have made it difficult to find a vein to put in an IV. Also, it would have been difficult to secure a lifesaving airway for the woman because she was obese, unless the doctor at the vaccination center was an emergency room physician or an anesthesiologist.
 He also notes that the report states, &#8220;Bubbly pink blood sputum was produced.
 I suspect that this is a typical symptom of pulmonary congestion, or heart failure, and may have been caused by pulmonary thromboembolism (economy class syndrome). It&#8217;s common in emergency medicine for patients with pre-existing conditions such as diabetes to have blood clots (clots of blood) clogging the pulmonary arteries in their hearts, but they are not aware of the symptoms.
 According to the report, when a nurse moved a woman who had sat up while walking after vaccination to the emergency room, she heard the woman complain, &#8216;I was actually sick before the vaccination. It is expected that the woman confided that she had been sick before the visit when she was close to respiratory arrest. Based on the above, it is possible that some kind of cardiac abnormality had occurred prior to her arrival at the vaccination venue, unrelated to the vaccination.&#8221;
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 If Dr. O&#8217;s opinion could be determined to be the &#8220;real cause,&#8221; it might allay some fears about vaccination, but we cannot hope for that now that no pathological autopsy has been performed. The only thing that has happened is that people have become anxious about the possibility of anaphylaxis &#8230;&#8230; occurring if they are inoculated.
 At first, the government emphasized reassurance and urged prompt vaccination, saying that it would pay 44.2 million yen in compensation and funeral expenses of approximately 200,000 yen to the bereaved family if the death was found to have been caused by the vaccination. In reality, however, in more than 99% of the cases of suspected vaccination-related deaths, not only is there no acknowledgement of a causal relationship, but the exact cause of death has not even been properly investigated. If this situation continues, the day will never come when the husband of the woman in the opening paragraph will be convinced as to why his wife died, nor will the day ever come when the public can be vaccinated with peace of mind.
<figure id="attachment_286699" aria-describedby="caption-attachment-286699" style="width: 1024px" class="wp-caption alignnone"><a href="#" data-ident_hash="3952e23f"><img src="https://res.cloudinary.com/fridaydigital/image/private/t_article_image/wpmedia/2022/12/2022121609956.jpg" alt=""></a><figcaption id="caption-attachment-286699" class="wp-caption-text"> The vaccination center for the new strain of corona in Aisai City, Aichi Prefecture, where Ayano Iioka died suddenly after being vaccinated (Photo: Kyodo News)</figcaption></figure>

 Hiromi Kihara

 On December 5, one month after the death of a woman in Aisai City, Aichi Prefecture, following a vaccination with a new type of corona vaccine, a medical accident investigation committee is scheduled to conduct its first investigation into the cause of death of a 42-year-old woman. The woman's husband again demanded an investigation into the cause of his wife's death. Ayano Iioka, the man's wife

Sudden Death of 42-Year-Old Woman After Corona Vaccination” Reveals “Zusan Inquiry into Cause of Death”

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