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This is VAERS ID 1461721

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1461721
VAERS Form:2
Age:89.0
Sex:Female
Location:Florida
Vaccinated:2021-04-16
Onset:2021-04-22
Submitted:0000-00-00
Entered:2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cerebral haemorrhage, Death, Haemorrhage intracranial, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: None
Diagnostic Lab Data: I believe MRI confirmed
CDC 'Split Type':

Write-up: Onset occured 5-7 days post 2nd dose of vaccine. Developed intracranial hemorrhage / hemorrhagic brain bleed causing death.

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