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This is VAERS ID 1156352

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1156352
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-03-11
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Death, Electroencephalogram abnormal, Brain death, Withdrawal of life support

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-13
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: On baby aspirin as a blood thinner. Also "high blood pressure" meds ( per wife), "cholesterol meds" per wife.
Current Illness: Hypertension, Hypercholesterimia,
Preexisting Conditions: h/o MI
Allergies: None
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Patient''s wife returned for second Pfizer CoVid vaccine on 4/1/2021 she told the vaccinator, that her husband, died two days after he received the first Pfizer vaccine. Date of Death - 03/13/2021. Wife states that husband had a "massive stroke." EEG indicated no brain activity and it was decided to remove him from life support.


Changed on 5/7/2021

VAERS ID: 1156352 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-03-11
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Death, Electroencephalogram abnormal, Brain death, Withdrawal of life support

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-13
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: On baby aspirin as a blood thinner. Also "high blood pressure" meds ( per wife), "cholesterol meds" per wife.
Current Illness: Hypertension, Hypercholesterimia,
Preexisting Conditions: h/o MI
Allergies: None None
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Patient''s wife returned for second Pfizer CoVid vaccine on 4/1/2021 she told the vaccinator, that her husband, died two days after he received the first Pfizer vaccine. Date of Death - 03/13/2021. Wife states that husband had a "massive stroke." EEG indicated no brain activity and it was decided to remove him from life support.


Changed on 5/14/2021

VAERS ID: 1156352 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-03-11
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Death, Electroencephalogram abnormal, Brain death, Withdrawal of life support

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-13
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: On baby aspirin as a blood thinner. Also "high blood pressure" meds ( per wife), "cholesterol meds" per wife.
Current Illness: Hypertension, Hypercholesterimia,
Preexisting Conditions: h/o MI
Allergies: None None
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Patient''s wife returned for second Pfizer CoVid vaccine on 4/1/2021 she told the vaccinator, that her husband, died two days after he received the first Pfizer vaccine. Date of Death - 03/13/2021. Wife states that husband had a "massive stroke." EEG indicated no brain activity and it was decided to remove him from life support.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1156352&WAYBACKHISTORY=ON

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