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This is VAERS ID 1218422

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1218422
VAERS Form:2
Age:67.0
Sex:Male
Location:Wyoming
Vaccinated:2021-04-05
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Diarrhoea, Loss of consciousness, Myocardial infarction, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: DEATH! About 24 hours after getting his 2nd Moderna Covid-19 shot, patient got deathly ill with explosive vomiting and diarrhea. Not long later he was passing out. Paramedics were called, and he was taken to the hospital where he passed away from a massive heart attack. The doctors gave him clot-busting drugs in an attempt to save him. He has never had problems with blood clots in his life. He was the healthiest one of us all, and was almost never sick. The doctor said that it was probably no coincidence that he died so soon after receiving his Covid shot. I am convinced that they are connected. A healthy man suddenly gets blood clots in his heart 24 hours after getting his shot? Not a coincidence!!!!!!!!!!!!!!1


Changed on 5/7/2021

VAERS ID: 1218422 Before After
VAERS Form:2
Age:67.0
Sex:Male
Location:Wyoming
Vaccinated:2021-04-05
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Diarrhoea, Loss of consciousness, Myocardial infarction, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: DEATH! About 24 hours after getting his 2nd Moderna Covid-19 shot, patient got deathly ill with explosive vomiting and diarrhea. Not long later he was passing out. Paramedics were called, and he was taken to the hospital where he passed away from a massive heart attack. The doctors gave him clot-busting drugs in an attempt to save him. He has never had problems with blood clots in his life. He was the healthiest one of us all, and was almost never sick. The doctor said that it was probably no coincidence that he died so soon after receiving his Covid shot. I am convinced that they are connected. A healthy man suddenly gets blood clots in his heart 24 hours after getting his shot? Not a coincidence!!!!!!!!!!!!!!1


Changed on 5/14/2021

VAERS ID: 1218422 Before After
VAERS Form:2
Age:67.0
Sex:Male
Location:Wyoming
Vaccinated:2021-04-05
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Diarrhoea, Loss of consciousness, Myocardial infarction, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: DEATH! About 24 hours after getting his 2nd Moderna Covid-19 shot, patient got deathly ill with explosive vomiting and diarrhea. Not long later he was passing out. Paramedics were called, and he was taken to the hospital where he passed away from a massive heart attack. The doctors gave him clot-busting drugs in an attempt to save him. He has never had problems with blood clots in his life. He was the healthiest one of us all, and was almost never sick. The doctor said that it was probably no coincidence that he died so soon after receiving his Covid shot. I am convinced that they are connected. A healthy man suddenly gets blood clots in his heart 24 hours after getting his shot? Not a coincidence!!!!!!!!!!!!!!1


Changed on 8/27/2021

VAERS ID: 1218422 Before After
VAERS Form:2
Age:67.0
Sex:Male
Location:Wyoming
Vaccinated:2021-04-05
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Diarrhoea, Loss of consciousness, Myocardial infarction, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: DEATH! About 24 hours after getting his 2nd Moderna Covid-19 shot, patient got deathly ill with explosive vomiting and diarrhea. Not long later he was passing out. Paramedics were called, and he was taken to the hospital where he passed away from a massive heart attack. The doctors gave him clot-busting drugs in an attempt to save him. He has never had problems with blood clots in his life. He was the healthiest one of us all, and was almost never sick. The doctor said that it was probably no coincidence that he died so soon after receiving his Covid shot. I am convinced that they are connected. A healthy man suddenly gets blood clots in his heart 24 hours after getting his shot? Not a coincidence!!!!!!!!!!!!!!1

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