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This is VAERS ID 1020119

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/12/2021

VAERS ID: 1020119
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-18
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 7+ UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Cardiac arrest, Shock, Sudden death, Internal haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-03
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Chronic lukemia
Allergies: None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: My mother died suddenly on February 3rd. She went into shock/cardiac arrest and appeared to have internal bleeding. No autopsy has been performed. Unsure if it was related to the COVID vaccine.


Changed on 5/7/2021

VAERS ID: 1020119 Before After
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-18
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 7+ UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Cardiac arrest, Shock, Sudden death, Internal haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-03
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Chronic lukemia
Allergies: None None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: My mother died suddenly on February 3rd. She went into shock/cardiac arrest and appeared to have internal bleeding. No autopsy has been performed. Unsure if it was related to the COVID vaccine.


Changed on 5/14/2021

VAERS ID: 1020119 Before After
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-18
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 7+ UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Cardiac arrest, Shock, Sudden death, Internal haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-03
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Chronic lukemia
Allergies: None None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: My mother died suddenly on February 3rd. She went into shock/cardiac arrest and appeared to have internal bleeding. No autopsy has been performed. Unsure if it was related to the COVID vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1020119&WAYBACKHISTORY=ON


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