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This is VAERS ID 1423845

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1423845
VAERS Form:2
Age:100.0
Sex:Female
Location:Indiana
Vaccinated:2021-02-15
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Acute respiratory failure, Condition aggravated, Death, Polymerase chain reaction, Physical deconditioning, COVID-19

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-25
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:
Current Illness:
Preexisting Conditions: acute on chronic deconditioning
Allergies:
Diagnostic Lab Data: RT-PCR or other NAAT test
CDC 'Split Type':

Write-up: Death 3/25/2021 Causes of death listed on patient''s death certificate: 1) COVID-19 Infection, 2) Acute Hypoxic Respiratory Failure, 3) Acute on Chronic Deconditioning

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1423845&WAYBACKHISTORY=ON

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