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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1446281



Case Details

VAERS ID: 1446281 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Lung cancer metastatic
SMQs:, Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Metastatic lung cancer, smoking, COPD, peripheral vascular disease
Preexisting Conditions: Metastatic lung cancer, smoking, COPD, peripheral vascular disease
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalization 6/1/21-6/24-21; repeat hospitalization on 7/2/21. All from prior metastatic lung cancer.


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