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This is VAERS ID 1602687

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1602687
VAERS Form:2
Age:84.0
Sex:Male
Location:New Jersey
Vaccinated:2021-03-10
Onset:2021-03-20
Submitted:0000-00-00
Entered:2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Asthenia, Condition aggravated, Death, Tremor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-21
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: Prednisone, Ativan, morphine
Current Illness: Copd, blood in urine
Preexisting Conditions: Copd, declining health. Symptoms increased to extreme fatigue, Extreme weakness and tremors started after vaccine. Never had tremors prior to vaccine.
Allergies: Nka
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasingly weak after receiving vaccine. Tremors started 5 days after vaccine

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1602687&WAYBACKHISTORY=ON

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