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This is VAERS ID 1365075

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1365075
VAERS Form:2
Age:23.0
Sex:Male
Location:Missouri
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 1 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Death, Computerised tomogram head, Laboratory test, Discoloured vomit

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-19
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? No
Previous Vaccinations:
Other Medications: Kepra-for seizures
Current Illness: none
Preexisting Conditions: Cerebral Palsy legally blind Epileptic Seizures deteriorating bones in hips Hydrocephalus Shunt in head
Allergies: none
Diagnostic Lab Data: CT scan of shunt at ER visit lab tests at ER visit
CDC 'Split Type':

Write-up: Patients father said his son began throwing up 2 days after injection. They took him to the ER and patient was given some medication to stop emesis. Two days later patient was still throwing up and the ER told him to give the medication a couple more days to work. The father said the throwing up was not constant and patient was able to eat and keep it down. The emesis was reported as dark brown mucous with no food particles in it. Patient was reported to throw up everyday until his death on day 9.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1365075&WAYBACKHISTORY=ON

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