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This is VAERS ID 1180145

History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

VAERS ID: 1180145
VAERS Form:2
Age:74.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-04
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 2 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood magnesium normal, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-26
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: 1/21/2021 Acute diarrhea negative for C.diff; 2/4/21 labs WBC 2.83, RDW-CV 15.3, Platelet Count 437, Neut # 1.50; Labs obtained from Hosiptal.
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Low Magnesium levels 2/24 Mag 1.5, 3/4 received 4gm Mag Sulfate, 3/8 Mag 1.6 (obtained from Hospital. Death within 30 days of vaccination


Changed on 5/7/2021

VAERS ID: 1180145 Before After
VAERS Form:2
Age:74.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-04
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 2 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood magnesium normal, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-26
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: 1/21/2021 Acute diarrhea negative for C.diff; 2/4/21 labs WBC 2.83, RDW-CV 15.3, Platelet Count 437, Neut # 1.50; Labs obtained from Hosiptal.
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Low Magnesium levels 2/24 Mag 1.5, 3/4 received 4gm Mag Sulfate, 3/8 Mag 1.6 (obtained from Hospital. Death within 30 days of vaccination


Changed on 5/14/2021

VAERS ID: 1180145 Before After
VAERS Form:2
Age:74.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-04
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 2 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood magnesium normal, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-26
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: 1/21/2021 Acute diarrhea negative for C.diff; 2/4/21 labs WBC 2.83, RDW-CV 15.3, Platelet Count 437, Neut # 1.50; Labs obtained from Hosiptal.
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Low Magnesium levels 2/24 Mag 1.5, 3/4 received 4gm Mag Sulfate, 3/8 Mag 1.6 (obtained from Hospital. Death within 30 days of vaccination

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180145&WAYBACKHISTORY=ON

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