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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||- / 1||- / OT|
Administered by: Unknown Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Current Illness: Chronic obstructive pulmonary disease
Diagnostic Lab Data:
CDC 'Split Type': SEMODERNATX, INC.MOD20210
Write-up: AVLIDEN; A spontaneous report was received from a consumer (SWEDEN) concerning a 70 year old, female patient who was pronounced dead on ??-JAN-2021. The patient''s medical history included Chronic obstructive pulmonary disease. Concomitant product use was not provided/unknown by the reporter. The patient received the mRNA-1273 vaccine (Batch number not provided) on ??-JAN-2021. The dosage is unknown. The patient was pronounced dead on ??-JAN-2021. Treatment information was nor provided/unknown. Action taken with mRNA-1273 in response to the event was not provided/unknown. The patient died on ??-JAN-2021. The cause of death was not provided/unknown. Plans for an autopsy were unknown/not provided.; Reporter''s Comments: Very limited information regarding this events has been provided at this time. The cause of death was not provided. Plan for an autopsy was not provided. Company assessed the events to be unlikely related to company product.; Reported Cause(s) of Death: unknown cause of death
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