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This is VAERS ID 1272393

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1272393
VAERS Form:2
Age:83.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-30
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Condition aggravated, Cough, Death, Intensive care, Pericardial effusion, Pleural effusion, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-16
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: 40     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Enalapril-hctz 10-25mg
Current Illness: leg swelling, coughing
Preexisting Conditions: undetermined
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Her conditions (leg swelling, coughing) get deteriorated after the vaccination. She was found pericardial effusions and plural effusions 2 weeks after the second dose. She stayed in ICU for 6 weeks and passed away.


Changed on 5/7/2021

VAERS ID: 1272393 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-30
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Condition aggravated, Cough, Death, Intensive care, Pericardial effusion, Pleural effusion, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-16
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: 40     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Enalapril-hctz 10-25mg
Current Illness: leg swelling, coughing
Preexisting Conditions: undetermined
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Her conditions (leg swelling, coughing) get deteriorated after the vaccination. She was found pericardial effusions and plural effusions 2 weeks after the second dose. She stayed in ICU for 6 weeks and passed away.


Changed on 5/14/2021

VAERS ID: 1272393 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-30
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Condition aggravated, Cough, Death, Intensive care, Pericardial effusion, Pleural effusion, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-16
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: 40     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Enalapril-hctz 10-25mg
Current Illness: leg swelling, coughing
Preexisting Conditions: undetermined
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Her conditions (leg swelling, coughing) get deteriorated after the vaccination. She was found pericardial effusions and plural effusions 2 weeks after the second dose. She stayed in ICU for 6 weeks and passed away.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1272393&WAYBACKHISTORY=ON

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