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This is VAERS ID 1230389

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1230389
VAERS Form:2
Age:65.0
Sex:Female
Location:Virginia
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 - / UNK RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Night sweats, Pulmonary thrombosis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Letrozol 2.5 mg Vit D3 500 iu, Corgard, Synthroid
Current Illness: Metastic Breast Cancer
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, severe night sweats, blood clots in lungs


Changed on 5/7/2021

VAERS ID: 1230389 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Virginia
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 - / UNK RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Night sweats, Pulmonary thrombosis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Letrozol 2.5 mg Vit D3 500 iu, Corgard, Synthroid
Current Illness: Metastic Breast Cancer
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, severe night sweats, blood clots in lungs


Changed on 5/14/2021

VAERS ID: 1230389 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Virginia
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 - / UNK RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Night sweats, Pulmonary thrombosis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-25
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Letrozol 2.5 mg Vit D3 500 iu, Corgard, Synthroid
Current Illness: Metastic Breast Cancer
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, severe night sweats, blood clots in lungs

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