National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1425840

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1425840
VAERS Form:2
Age:82.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-27
Onset:2021-04-10
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1284 / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Chronic lymphocytic leukaemia, Condition aggravated, Death, Polymerase chain reaction, Nucleic acid test, COVID-19

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-11
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: Covid
Preexisting Conditions: chronic lymphocytic leukemia
Allergies:
Diagnostic Lab Data: RT-PCR or other NAAT test
CDC 'Split Type':

Write-up: Died 5/11/2021 Causes of death listed on death certificate: 1) covid 2) chronic lymphocytic leukemia

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1425840&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166