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This is VAERS ID 1316800

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1316800
VAERS Form:2
Age:71.0
Sex:Female
Location:Kansas
Vaccinated:2021-03-27
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Atrioventricular block, Cardiac arrest, Cardiac pacemaker insertion

Life Threatening? No
Birth Defect? No
Died? No
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: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not sure
Current Illness: None
Preexisting Conditions: Kidney disease and hypertension
Allergies: Sulfa drugs
Diagnostic Lab Data: May 4th 2021
CDC 'Split Type':

Write-up: Heart block - cardiac arrest - permanent pacemaker

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1316800&WAYBACKHISTORY=ON


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