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This is VAERS ID 1450298

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450298
VAERS Form:2
Age:82.0
Sex:Male
Location:Florida
Vaccinated:2021-02-16
Onset:2021-02-16
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-17
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? No
Previous Vaccinations:
Other Medications:
Current Illness: Recovering from heart surgery.
Preexisting Conditions: Chronic Lymphocytic Leukemia
Allergies: None
Diagnostic Lab Data: None - Funeral home refused to do testing. All doctors related to the patient refused to do testing. We were faced with hiring a private autopsy to get any results.
CDC 'Split Type':

Write-up: Pfizer Dose #1 - Jan 22, 2021 - Symptom: arm pain, fatigue Pfizer Dose #2 - Feb 16, 2021 (11:57am) - Death approximately 12 hours later before 1am 02/17/2021.

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