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This is VAERS ID 1088741

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1088741
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
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: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.


Changed on 5/7/2021

VAERS ID: 1088741 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
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: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.


Changed on 5/14/2021

VAERS ID: 1088741 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:New York
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Death, Unresponsive to stimuli, Stenosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-27
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: unknown
Current Illness: multiple cardiac issues, arterial/aortic stenosis
Preexisting Conditions: aortic stenosis
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient found unresponsive approx 16 hours after vaccination. Death listed as Cardiac arrest secondary to stenosis. Patient had inoperable cardiac issues and was reportedly in a terminal state.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1088741&WAYBACKHISTORY=ON

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