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This is VAERS ID 1017509

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/12/2021

VAERS ID: 1017509
VAERS Form:2
Age:80.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-02-04
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood culture positive, Death, Ovarian cancer, Escherichia bacteraemia, Endotracheal intubation, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine vitamin c calcium vitamin D cetirizine questran vit b12 estradiol gabapentin MOM Magnesium oxide potassium chloride Avastin, Carboplatin, Gemcitabine
Current Illness: Advanced Ovarian Cancer
Preexisting Conditions: spinal stenosis
Allergies: penicillins
Diagnostic Lab Data: As noted above.
CDC 'Split Type':

Write-up: Day after receiving the vaccine, the patient complained of abdominal pain which worsened over the day. She went to the ED and was hospitalized. Abdominal pain complaints increased and continued, she decompensated rapidly, was intubated and subsequently died 3 days later. Imaging results showed, progressive ovarian cancer in the bowels. Blood culture revealed that she had E.Coli in her blood. It is thought that this is NOT related to the vaccine.


Changed on 5/7/2021

VAERS ID: 1017509 Before After
VAERS Form:2
Age:80.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-02-04
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood culture positive, Death, Ovarian cancer, Escherichia bacteraemia, Endotracheal intubation, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine vitamin c calcium vitamin D cetirizine questran vit b12 estradiol gabapentin MOM Magnesium oxide potassium chloride Avastin, Carboplatin, Gemcitabine
Current Illness: Advanced Ovarian Cancer
Preexisting Conditions: spinal stenosis
Allergies: penicillins penicillins
Diagnostic Lab Data: As noted above.
CDC 'Split Type':

Write-up: Day after receiving the vaccine, the patient complained of abdominal pain which worsened over the day. She went to the ED and was hospitalized. Abdominal pain complaints increased and continued, she decompensated rapidly, was intubated and subsequently died 3 days later. Imaging results showed, progressive ovarian cancer in the bowels. Blood culture revealed that she had E.Coli in her blood. It is thought that this is NOT related to the vaccine.


Changed on 5/14/2021

VAERS ID: 1017509 Before After
VAERS Form:2
Age:80.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-02-04
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood culture positive, Death, Ovarian cancer, Escherichia bacteraemia, Endotracheal intubation, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-07
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine vitamin c calcium vitamin D cetirizine questran vit b12 estradiol gabapentin MOM Magnesium oxide potassium chloride Avastin, Carboplatin, Gemcitabine
Current Illness: Advanced Ovarian Cancer
Preexisting Conditions: spinal stenosis
Allergies: penicillins penicillins
Diagnostic Lab Data: As noted above.
CDC 'Split Type':

Write-up: Day after receiving the vaccine, the patient complained of abdominal pain which worsened over the day. She went to the ED and was hospitalized. Abdominal pain complaints increased and continued, she decompensated rapidly, was intubated and subsequently died 3 days later. Imaging results showed, progressive ovarian cancer in the bowels. Blood culture revealed that she had E.Coli in her blood. It is thought that this is NOT related to the vaccine.

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