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This is VAERS ID 1430563

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430563
VAERS Form:2
Age:50.0
Sex:Female
Location:Arizona
Vaccinated:2021-03-15
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016M20A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Dyspnoea, Fatigue, Headache, Loss of consciousness, Nausea, Pain, Thrombotic thrombocytopenic purpura, Decreased appetite

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-05
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Mild Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On April 2, 2021, person went to the ED at 10:15 AM, where she complained of shortness of breath, fatigue, mild headache and nausea. Patient symptoms were going on for about 3 days. She also reported feeling a bit achy and decreased appetite. She was treated and discharged home the same day. It was later reported by a family member that this person was found unconscious on floor of her bedroom by family members and taken to hospital where she passed away. It was reported hat Doctors were thinking that this was caused by a rare blood disorder (Thrombotic thrombocytopenic purpura, a disease which causes small blood clots and interrupts the blood''s ability to deliver oxygen properly).

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430563&WAYBACKHISTORY=ON

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