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This is VAERS ID 1088539

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1088539
VAERS Form:2
Age:58.0
Sex:Male
Location:Oregon
Vaccinated:2021-02-11
Onset:2021-02-24
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016M20A / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Muscle rigidity, Peripheral coldness, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-24
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: Lactulose 22.5 ml tid; omeprazole 40 mg daily; rifaximin 550 mg bid
Current Illness: end stage liver disease due to alcoholic cirrhosis with undiagnosed liver mass; chronic hepatitis C.; and hepatic encephalopathy
Preexisting Conditions: alcoholism; hepatitis c with end stage liver disease and hepatic encephalopathy, macrocytic anemia, poly-substance abuse, non-compliant with medical treatment
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: He was found unresponsive, cold and with rigor mortis present after family requested welfare check. He had not been seen for 36 hours.


Changed on 5/7/2021

VAERS ID: 1088539 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:Oregon
Vaccinated:2021-02-11
Onset:2021-02-24
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016M20A / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Muscle rigidity, Peripheral coldness, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-24
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: Lactulose 22.5 ml tid; omeprazole 40 mg daily; rifaximin 550 mg bid
Current Illness: end stage liver disease due to alcoholic cirrhosis with undiagnosed liver mass; chronic hepatitis C.; and hepatic encephalopathy
Preexisting Conditions: alcoholism; hepatitis c with end stage liver disease and hepatic encephalopathy, macrocytic anemia, poly-substance abuse, non-compliant with medical treatment
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: He was found unresponsive, cold and with rigor mortis present after family requested welfare check. He had not been seen for 36 hours.


Changed on 5/14/2021

VAERS ID: 1088539 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:Oregon
Vaccinated:2021-02-11
Onset:2021-02-24
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016M20A / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Muscle rigidity, Peripheral coldness, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-24
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: Lactulose 22.5 ml tid; omeprazole 40 mg daily; rifaximin 550 mg bid
Current Illness: end stage liver disease due to alcoholic cirrhosis with undiagnosed liver mass; chronic hepatitis C.; and hepatic encephalopathy
Preexisting Conditions: alcoholism; hepatitis c with end stage liver disease and hepatic encephalopathy, macrocytic anemia, poly-substance abuse, non-compliant with medical treatment
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: He was found unresponsive, cold and with rigor mortis present after family requested welfare check. He had not been seen for 36 hours.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1088539&WAYBACKHISTORY=ON

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