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This is VAERS ID 1259280

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1259280
VAERS Form:2
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2021-02-27
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Lumbar spinal stenosis, Spinal claudication, Lumbar radiculopathy, Spondylolisthesis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-25
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: This 71 year old male received the Covid shot on 2/27/21 and went to the ED and was admitted on 4/5/2021 and died on 4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.


Changed on 5/7/2021

VAERS ID: 1259280 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2021-02-27
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Lumbar spinal stenosis, Spinal claudication, Lumbar radiculopathy, Spondylolisthesis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-25
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: This 71 year old male received the Covid shot on 2/27/21 and went to the ED and was admitted on 4/5/2021 and died on 4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.


Changed on 5/14/2021

VAERS ID: 1259280 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2021-02-27
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Lumbar spinal stenosis, Spinal claudication, Lumbar radiculopathy, Spondylolisthesis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-25
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: This 71 year old male received the Covid shot on 2/27/21 and went to the ED and was admitted on 4/5/2021 and died on 4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

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