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This is VAERS ID 1446849

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446849
VAERS Form:2
Age:18.0
Sex:Male
Location:Florida
Vaccinated:2021-07-02
Onset:2021-07-04
Submitted:0000-00-00
Entered:2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-04
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Holcomb''s disease; hypertrophic cardiomyopathy
Allergies: None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: death

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