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This is VAERS ID 1223630

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223630
VAERS Form:2
Age:60.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Nausea, Vomiting, Autopsy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-11
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: Hydrochlorothiazide
Current Illness: Hypertension
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Coroners report and autopsy pending
CDC 'Split Type':

Write-up: Nausea vomiting throughout the day and continuous the next night, sense on impending doom


Changed on 5/7/2021

VAERS ID: 1223630 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Nausea, Vomiting, Autopsy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-11
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: Hydrochlorothiazide
Current Illness: Hypertension
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Coroners report and autopsy pending
CDC 'Split Type':

Write-up: Nausea vomiting throughout the day and continuous the next night, sense on impending doom


Changed on 5/14/2021

VAERS ID: 1223630 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Nausea, Vomiting, Autopsy

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-11
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: Hydrochlorothiazide
Current Illness: Hypertension
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Coroners report and autopsy pending
CDC 'Split Type':

Write-up: Nausea vomiting throughout the day and continuous the next night, sense on impending doom

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223630&WAYBACKHISTORY=ON

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