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This is VAERS ID 1365222

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1365222
VAERS Form:2
Age:49.0
Sex:Male
Location:Texas
Vaccinated:2021-05-01
Onset:2021-05-15
Submitted:0000-00-00
Entered:2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / SYR

Administered by: Work      Purchased by: ??
Symptoms: Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-15
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: Edarbi
Current Illness:
Preexisting Conditions: Obesity, high blood pressure
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received the shot 5/6 and very unexpectedly died 5/15, autopsy was not performed because foul play was not suspected and family could not pay to have it done

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1365222&WAYBACKHISTORY=ON

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