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This is VAERS ID 1459938

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1459938
VAERS Form:2
Age:85.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-28
Onset:2021-05-24
Submitted:0000-00-00
Entered:2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Asthenia, Death, Urine analysis, White blood cell count increased, Blood test, Hypophagia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-24
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: acetaminophen, vit D3, vit B12, glimepiride, folic acid, ferrous sulfate, eliquis, Norco, Hyoscyamine sulfate, lasix, potassium chloride, oxybutynin, morphine, meropenem, vancomycin, mirapex, ativan, simvastatin
Current Illness: UTI
Preexisting Conditions: cellulitis RLE w/MRSA, Dysphagia, altered mental status, heart failure, lymphedema, chronic diarrhea, bladder CA, DVT RLE, leukemia, diabetes, hypertensive chronic kidney disease, parkinson''s, arthropathy, sleep apnea, restless legs symptoms
Allergies: lidocain/lidoderm
Diagnostic Lab Data: labs: urine, blood tests for WBCs
CDC 'Split Type':

Write-up: Participated in skilled therapy, continued visits w/oncologist, vaccine requested and administered, continued skilled therapy w/decrease in strength as what brought resident to SNF w/RLE cellulits w/MRSA, Vaccine series completed, continued skilled therapy, WBCs chronically elevated per oncologist as expected may occur w/cancer tx med for active leukemia. Continued decline overall w/decline in intake of food and fluids, hospice care initiated. Over the course of months, resident declined to bedrest w/expiration 5/24/21.

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