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This is VAERS ID 1362287

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1362287
VAERS Form:2
Age:76.0
Sex:Male
Location:California
Vaccinated:2021-02-07
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / SYR

Administered by: Private      Purchased by: ??
Symptoms: Cerebrovascular accident, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-18
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: Stroke, ending in death

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1362287&WAYBACKHISTORY=ON

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