Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0153 / 2||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: Death, Hypoxia, Endotracheal intubation, COVID-19, SARS-CoV-2 test positive
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Unknown
Current Illness: COVID-19
Preexisting Conditions: Unknown
Diagnostic Lab Data: Tested positive by rapid PCR for COVID-19 on 4/21/2021.
CDC 'Split Type':
Write-up: Admitted to hospital on 5/2/2021 due to hypoxia and ultimately intubated. Family moved to comfort care and he died on 5/2/2021 at 10am.
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