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This is VAERS ID 1020449

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1020449
VAERS Form:2
Age:92.0
Sex:Female
Location:California
Vaccinated:2021-01-26
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Anaemia, Gastrointestinal haemorrhage, Haemoglobin decreased, Melaena, Platelet count decreased, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: combigan, Colace, ferrous sulfate, xalatan, and Tylenol as needed
Current Illness: none
Preexisting Conditions: glaucoma, arthritis
Allergies: none
Diagnostic Lab Data: 2/8/21 hg,b=4.8, plt=4 2/9/21 hgb=5.8, plt=2 2/10/21 hgb=7, plt=7
CDC 'Split Type':

Write-up: melena, severe anemia, gi bleed and severe thrombocytopenia


Changed on 5/7/2021

VAERS ID: 1020449 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:California
Vaccinated:2021-01-26
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Anaemia, Gastrointestinal haemorrhage, Haemoglobin decreased, Melaena, Platelet count decreased, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: combigan, Colace, ferrous sulfate, xalatan, and Tylenol as needed
Current Illness: none
Preexisting Conditions: glaucoma, arthritis
Allergies: none none
Diagnostic Lab Data: 2/8/21 hg,b=4.8, plt=4 2/9/21 hgb=5.8, plt=2 2/10/21 hgb=7, plt=7
CDC 'Split Type':

Write-up: melena, severe anemia, gi bleed and severe thrombocytopenia


Changed on 5/21/2021

VAERS ID: 1020449 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:California
Vaccinated:2021-01-26
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Anaemia, Gastrointestinal haemorrhage, Haemoglobin decreased, Melaena, Platelet count decreased, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: combigan, Colace, ferrous sulfate, xalatan, and Tylenol as needed
Current Illness: none
Preexisting Conditions: glaucoma, arthritis
Allergies: none none
Diagnostic Lab Data: 2/8/21 hg,b=4.8, plt=4 2/9/21 hgb=5.8, plt=2 2/10/21 hgb=7, plt=7
CDC 'Split Type':

Write-up: melena, severe anemia, gi bleed and severe thrombocytopenia

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