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This is VAERS ID 1578507

History of Changes from the VAERS Wayback Machine

First Appeared on 8/20/2021

VAERS ID: 1578507
VAERS Form:2
Age:78.0
Sex:Male
Location:Florida
Vaccinated:2021-03-03
Onset:2021-07-27
Submitted:0000-00-00
Entered:2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH BNT-162B2 / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Intensive care, Pyrexia, SARS-CoV-2 test, Exposure to SARS-CoV-2

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-04
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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: nka
Diagnostic Lab Data: COVID TEST, CXR
CDC 'Split Type':

Write-up: SHORT OF BREATH, EXPOSURE TO WIFE WITH covid, FEVER, ADMITTED TO ICU AND THEN HOSPICE

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1578507&WAYBACKHISTORY=ON

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