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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1001488



Case Details

VAERS ID: 1001488 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-01-18
Onset:2021-01-31
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: COVID infection November 2020
Preexisting Conditions: HTN, Afib, atherosclerotic cardiovascular disease;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient died several days after receiving the second dose of the vaccine. See additional information sent. An autopsy has been performed and results are pending.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1001488


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