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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1362271



Case Details

VAERS ID: 1362271 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-12
Onset:2021-05-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-01
   Days after onset: 20
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lung transplant 5 months or so before, I was his care giver. He was doing better than ever before he got that shot. Shame on our corrupt gov and drug companies.
Current Illness: Lung transplant but was doing better than he was for the past 2 years. Lung worked fine but was on a lot of antibiotics from a bed sore, but that was getting better too. IMO, this shot killed him. Got it at HCF.
Preexisting Conditions: New lung transplant but was doing great until the shot.
Allergies: No allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Death


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1362271

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