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This is VAERS ID 1246534

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1246534
VAERS Form:2
Age:39.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiomegaly, Death, Nausea, Pain in extremity, Renal disorder, Vomiting, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-10
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: Acetaminophen at approximately 5:00pm.
Current Illness: No.
Preexisting Conditions: Asthma, stomach ulcers.
Allergies: No.
Diagnostic Lab Data: Dr. from the Office of Chief Medical Examiners is currently conducting an autopsy report but shared some initial findings such as: an enlarged heart and patches on her kidney (4/10/21)
CDC 'Split Type':

Write-up: Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am.


Changed on 5/7/2021

VAERS ID: 1246534 Before After
VAERS Form:2
Age:39.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiomegaly, Death, Nausea, Pain in extremity, Renal disorder, Vomiting, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-10
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: Acetaminophen at approximately 5:00pm.
Current Illness: No.
Preexisting Conditions: Asthma, stomach ulcers.
Allergies: No. No.
Diagnostic Lab Data: Dr. from the Office of Chief Medical Examiners is currently conducting an autopsy report but shared some initial findings such as: an enlarged heart and patches on her kidney (4/10/21)
CDC 'Split Type':

Write-up: Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am.


Changed on 5/14/2021

VAERS ID: 1246534 Before After
VAERS Form:2
Age:39.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cardiomegaly, Death, Nausea, Pain in extremity, Renal disorder, Vomiting, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-10
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: Acetaminophen at approximately 5:00pm.
Current Illness: No.
Preexisting Conditions: Asthma, stomach ulcers.
Allergies: No. No.
Diagnostic Lab Data: Dr. from the Office of Chief Medical Examiners is currently conducting an autopsy report but shared some initial findings such as: an enlarged heart and patches on her kidney (4/10/21)
CDC 'Split Type':

Write-up: Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246534&WAYBACKHISTORY=ON


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