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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||040A21A / 2||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Asthenia, Death, Dyspepsia, Feeling abnormal, Feeling hot
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Prostate cancer treatment for 2-3 years, other meds unknown
Preexisting Conditions: prostate cancer in remission, diabetes since 1990, heart attack with stent placement in 1995. On oxygen nightly since 2008.
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Received dose 2 of Moderna vaccine on 3/11/21. Symptoms worse after 2nd dose, and on March 31, 2021 get worse. On April 4 at church, became very hot and weaker and weaker. Came home and put him to bed and slept some. At lunch time, ate a bite of jello and sipped 7 up and said he did not feel very good. Took an Alka Seltzer for heart burn, but it did not help. Went to sleep. Wife unable to waken him later that day. Died 4/4/21.
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