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This is VAERS ID 1103186

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1103186
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-02-01
Onset:2021-02-19
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow, Full blood count

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: cephalexin, diltiazem, warfarin
Current Illness: statin--muscle weakness
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC, bone marrow biopsy
CDC 'Split Type':

Write-up: Patient was vaccinated with the Pfizer vaccine in early February. On February 19th, she was diagnosed with Acute Myeloid Leukemia


Changed on 5/7/2021

VAERS ID: 1103186 Before After
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-02-01
Onset:2021-02-19
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow, Full blood count

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: cephalexin, diltiazem, warfarin
Current Illness: statin--muscle weakness
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC, bone marrow biopsy
CDC 'Split Type':

Write-up: Patient was vaccinated with the Pfizer vaccine in early February. On February 19th, she was diagnosed with Acute Myeloid Leukemia


Changed on 5/14/2021

VAERS ID: 1103186 Before After
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-02-01
Onset:2021-02-19
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow, Full blood count

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: cephalexin, diltiazem, warfarin
Current Illness: statin--muscle weakness
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC, bone marrow biopsy
CDC 'Split Type':

Write-up: Patient was vaccinated with the Pfizer vaccine in early February. On February 19th, she was diagnosed with Acute Myeloid Leukemia

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1103186&WAYBACKHISTORY=ON

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