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This is VAERS ID 1084036

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1084036
VAERS Form:2
Age:59.0
Sex:Female
Location:Mississippi
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 2 AR / SYR

Administered by: Military      Purchased by: ??
Symptoms: Asthenia, Death, Laboratory test normal, Dependence on respirator, Culture negative, Mechanical ventilation, Haemophagocytic lymphohistiocytosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-15
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:
Current Illness:
Preexisting Conditions: type II diabetes
Allergies:
Diagnostic Lab Data: multiple tests and culture ruled out infections, etc. All led to HLH
CDC 'Split Type':

Write-up: Profoundly weak by Saturday the day after the injection (2/6/2021), hospitalized by Monday (2/8/2021), on a ventilator by Wednesday (2/10/2021) and died the following Monday, (2/15/2021) She was treated for HLH (hemophagocyticlymphoistiocytosis)


Changed on 5/7/2021

VAERS ID: 1084036 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Mississippi
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 2 AR / SYR

Administered by: Military      Purchased by: ??
Symptoms: Asthenia, Death, Laboratory test normal, Dependence on respirator, Culture negative, Mechanical ventilation, Haemophagocytic lymphohistiocytosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-15
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:
Current Illness:
Preexisting Conditions: type II diabetes
Allergies:
Diagnostic Lab Data: multiple tests and culture ruled out infections, etc. All led to HLH
CDC 'Split Type':

Write-up: Profoundly weak by Saturday the day after the injection (2/6/2021), hospitalized by Monday (2/8/2021), on a ventilator by Wednesday (2/10/2021) and died the following Monday, (2/15/2021) She was treated for HLH (hemophagocyticlymphoistiocytosis)


Changed on 5/14/2021

VAERS ID: 1084036 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Mississippi
Vaccinated:2021-02-05
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 2 AR / SYR

Administered by: Military      Purchased by: ??
Symptoms: Asthenia, Death, Laboratory test normal, Dependence on respirator, Culture negative, Mechanical ventilation, Haemophagocytic lymphohistiocytosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-15
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:
Current Illness:
Preexisting Conditions: type II diabetes
Allergies:
Diagnostic Lab Data: multiple tests and culture ruled out infections, etc. All led to HLH
CDC 'Split Type':

Write-up: Profoundly weak by Saturday the day after the injection (2/6/2021), hospitalized by Monday (2/8/2021), on a ventilator by Wednesday (2/10/2021) and died the following Monday, (2/15/2021) She was treated for HLH (hemophagocyticlymphoistiocytosis)

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1084036&WAYBACKHISTORY=ON

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