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This is VAERS ID 1434068

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1434068
VAERS Form:2
Age:88.0
Sex:Unknown
Location:Washington
Vaccinated:1932-05-13
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-23
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? Yes, days: 13     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Diabetes mellitus Chronic heart disease Chronic lung disease hyperlipidemia
Allergies: Unknown
Diagnostic Lab Data: Positive COVID-19 PCR test on 4/19/2021
CDC 'Split Type':

Write-up: Died of COVID-19 illness on 04/23/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1434068&WAYBACKHISTORY=ON

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