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This is VAERS ID 1446614

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446614
VAERS Form:2
Age:64.0
Sex:Male
Location:California
Vaccinated:2021-04-01
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER 8730 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram abnormal, Dyspnoea, Electrocardiogram, Palpitations, Pulmonary thrombosis, Thrombosis, Anticoagulant therapy, Ultrasound scan abnormal, Blood test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Simvastatin, pantrapozole
Current Illness: None
Preexisting Conditions: None
Allergies: Contrast iodine
Diagnostic Lab Data: Numerous blood draws on June 26, 27 and 28.
CDC 'Split Type':

Write-up: June 26, shortness of breath and a heart palpitations. No indication that anything was coming on. Tests performed. Findings, blood clots in left leg and both lungs. Admitted to hospital on June 26. Discharge on June 28. Currently on blood thinners. Sonogram of both legs. Clots found in left leg. EKG, ECG of heart, CT scan found clots in both lungs. Numerous blood draws. Dr. advised I would not have made it to June 27 if I did not come in on June 26. States worst he?s ever seen for blood clots and lungs.

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