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This is VAERS ID 1227470

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1227470
VAERS Form:2
Age:83.0
Sex:Male
Location:California
Vaccinated:2021-04-02
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 2 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Hyperhidrosis, Malaise, Pulmonary embolism, Tremor, Vomiting, Autopsy, Fluid intake reduced, Feeding disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-04
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:
Current Illness: Prostate Cancer, Diabetes Type 2, Hypertension
Preexisting Conditions:
Allergies:
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.


Changed on 5/7/2021

VAERS ID: 1227470 Before After
VAERS Form:2
Age:83.0
Sex:Male
Location:California
Vaccinated:2021-04-02
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 2 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Hyperhidrosis, Malaise, Pulmonary embolism, Tremor, Vomiting, Autopsy, Fluid intake reduced, Feeding disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-04
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:
Current Illness: Prostate Cancer, Diabetes Type 2, Hypertension
Preexisting Conditions:
Allergies:
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.


Changed on 5/14/2021

VAERS ID: 1227470 Before After
VAERS Form:2
Age:83.0
Sex:Male
Location:California
Vaccinated:2021-04-02
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 2 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Death, Hyperhidrosis, Malaise, Pulmonary embolism, Tremor, Vomiting, Autopsy, Fluid intake reduced, Feeding disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-04
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:
Current Illness: Prostate Cancer, Diabetes Type 2, Hypertension
Preexisting Conditions:
Allergies:
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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1227470&WAYBACKHISTORY=ON

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