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| History of Changes from the VAERS Wayback Machine |
| VAERS ID: | 1320319 |
| VAERS Form: | 2 |
| Age: | |
| Sex: | Unknown |
| Location: | Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 0000-00-00 |
| Entered: | 2021-05-15 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / UNK | - / - |
Administered by: Unknown Purchased by: ??
Symptoms: Death, Product use issue
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:0000-00-00
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021507396
Write-up: Girl''s family who got vaccinated died along with their dog due to have been being exposed to the members who got vaccinated; 11 year old, pre-period, girls family who got vaccinated; This is a spontaneous report from a contactable consumer. A 11-years-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter reported that 11 year old, pre-period, girls family who got vaccinated died along with their dog due to have been being exposed to the members who got vaccinated. The patient died on an unspecified date. It was not reported if an autopsy was performed. The lot/batch number has been requested; Reported Cause(s) of Death: Girl''s family who got vaccinated died along with their dog due to have been being exposed to the members who got vaccinated
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1320319&WAYBACKHISTORY=ON
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