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This is VAERS ID 1307657

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1307657
VAERS Form:2
Age:17.0
Sex:Male
Location:Ohio
Vaccinated:2021-04-19
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-23
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: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Death by suicide.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1307657&WAYBACKHISTORY=ON


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