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This is VAERS ID 1351119

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1351119
VAERS Form:2
Age:66.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-24
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Acute respiratory failure, Cerebrovascular accident, Death, Hypercapnia, Hypoxia, Hypertensive urgency

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-09
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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient presented to the ED on 4/23/21 and was subsequently hospitalized for Acute on chronic respiratory failure with hypoxia and hypercapnia. Patient presented to the ED on 5/5/21 and was subsequently hospitalized for hypertensive urgency and CVA. Patient died on 5/9/21.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1351119&WAYBACKHISTORY=ON

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