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This is VAERS ID 1386054

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1386054
VAERS Form:2
Age:18.0
Sex:Female
Location:Ohio
Vaccinated:2021-05-14
Onset:2021-06-06
Submitted:0000-00-00
Entered:2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / -

Administered by: Public      Purchased by: ??
Symptoms: Death, Thrombosis, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-06
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: VANAFLAXINE BUSPIRONE ABILIFY SPRINTEC
Current Illness: CHLAMYDIA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: AUTOPSY 6/8/21
CDC 'Split Type':

Write-up: DEATH FROM BLOOD CLOT

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