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This is VAERS ID 1229270

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1229270
VAERS Form:2
Age:79.0
Sex:Male
Location:California
Vaccinated:2021-03-08
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL6205 / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Abdominal pain upper, Chest pain, Diarrhoea, Lung disorder, Pain, Pyrexia, Renal failure, Vomiting, Cardiac disorder, Multiple organ dysfunction syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-23
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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Diabetic insulin, Water pills to thin blood, Stool softeners, Breathing treatments twice a day,
Current Illness: A weakening of the heart was being looked into, Blood thinners to help his blood not clot and make it easier for his heart.
Preexisting Conditions: COPD and Diabetic. Past heart bypass surgery. Weakening of the heart.
Allergies: None known
Diagnostic Lab Data: Multiple organ failure. Weaking of lungs and heart. Kidney failure.
CDC 'Split Type':

Write-up: Fever and diarrhea following a couple days after the vaccine Being administered. The day prior to hospital emergency admission uncontrollable throwing up extreme side/Stomach/chest pain. Was taken by ambulance to emergency.


Changed on 5/7/2021

VAERS ID: 1229270 Before After
VAERS Form:2
Age:79.0
Sex:Male
Location:California
Vaccinated:2021-03-08
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL6205 / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Abdominal pain upper, Chest pain, Diarrhoea, Lung disorder, Pain, Pyrexia, Renal failure, Vomiting, Cardiac disorder, Multiple organ dysfunction syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-23
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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Diabetic insulin, Water pills to thin blood, Stool softeners, Breathing treatments twice a day,
Current Illness: A weakening of the heart was being looked into, Blood thinners to help his blood not clot and make it easier for his heart.
Preexisting Conditions: COPD and Diabetic. Past heart bypass surgery. Weakening of the heart.
Allergies: None known known
Diagnostic Lab Data: Multiple organ failure. Weaking of lungs and heart. Kidney failure.
CDC 'Split Type':

Write-up: Fever and diarrhea following a couple days after the vaccine Being administered. The day prior to hospital emergency admission uncontrollable throwing up extreme side/Stomach/chest pain. Was taken by ambulance to emergency.


Changed on 5/14/2021

VAERS ID: 1229270 Before After
VAERS Form:2
Age:79.0
Sex:Male
Location:California
Vaccinated:2021-03-08
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL6205 / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Abdominal pain upper, Chest pain, Diarrhoea, Lung disorder, Pain, Pyrexia, Renal failure, Vomiting, Cardiac disorder, Multiple organ dysfunction syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-23
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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Diabetic insulin, Water pills to thin blood, Stool softeners, Breathing treatments twice a day,
Current Illness: A weakening of the heart was being looked into, Blood thinners to help his blood not clot and make it easier for his heart.
Preexisting Conditions: COPD and Diabetic. Past heart bypass surgery. Weakening of the heart.
Allergies: None known known
Diagnostic Lab Data: Multiple organ failure. Weaking of lungs and heart. Kidney failure.
CDC 'Split Type':

Write-up: Fever and diarrhea following a couple days after the vaccine Being administered. The day prior to hospital emergency admission uncontrollable throwing up extreme side/Stomach/chest pain. Was taken by ambulance to emergency.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1229270&WAYBACKHISTORY=ON

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