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This is VAERS ID 1052738

History of Changes from the VAERS Wayback Machine

First Appeared on 2/26/2021

VAERS ID: 1052738
VAERS Form:2
Age:95.0
Sex:Male
Location:Virginia
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Pyrexia, Tremor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
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: he takes prescriptions
Current Illness: no
Preexisting Conditions: CHF
Allergies: no
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: He vaccine on 2/5/2021 I went to see my husband the next day he was shaking and his mouth was open shaking, and he had fever of 105, they gave him Tylenol suppositories and he passed away 2 hours later. They should not have given him should not have given him the vaccine that is on hospice, it was not the right decision. I am worried about the elderly and those very sick.


Changed on 5/7/2021

VAERS ID: 1052738 Before After
VAERS Form:2
Age:95.0
Sex:Male
Location:Virginia
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Pyrexia, Tremor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
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: he takes prescriptions
Current Illness: no
Preexisting Conditions: CHF
Allergies: no no
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: He vaccine on 2/5/2021 I went to see my husband the next day he was shaking and his mouth was open shaking, and he had fever of 105, they gave him Tylenol suppositories and he passed away 2 hours later. They should not have given him should not have given him the vaccine that is on hospice, it was not the right decision. I am worried about the elderly and those very sick.


Changed on 5/14/2021

VAERS ID: 1052738 Before After
VAERS Form:2
Age:95.0
Sex:Male
Location:Virginia
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Pyrexia, Tremor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
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: he takes prescriptions
Current Illness: no
Preexisting Conditions: CHF
Allergies: no no
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: He vaccine on 2/5/2021 I went to see my husband the next day he was shaking and his mouth was open shaking, and he had fever of 105, they gave him Tylenol suppositories and he passed away 2 hours later. They should not have given him should not have given him the vaccine that is on hospice, it was not the right decision. I am worried about the elderly and those very sick.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1052738&WAYBACKHISTORY=ON

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