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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1227470

Case Details

VAERS ID: 1227470 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: California  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: ?
Symptoms: Autopsy, Death, Feeding disorder, Fluid intake reduced, Hyperhidrosis, Malaise, Pulmonary embolism, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-04-04
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Prostate Cancer, Diabetes Type 2, Hypertension
Preexisting Conditions:
Diagnostic Lab Data: The autopsy that was done in country revealed that the cause of death was the result of blood clots in his lungs
CDC Split Type:

Write-up: My uncle started feeling unwell the evening he got his 2nd Covid 19 vaccine. By the next evening, he started vomiting violently, trembling and sweating. He lived in country and his caregiver didn''t think to take him to the hospital. The symptoms calmed down after a while, but he was not able to hold any food or liquids down. Eventually, he fell asleep and his caregiver left for the night. He returned on Easter Sunday at 9:30 am and found my uncle deceased.

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