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This is VAERS ID 1623489

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1623489
VAERS Form:2
Age:80.0
Sex:Female
Location:Arkansas
Vaccinated:2021-03-05
Onset:2021-08-01
Submitted:0000-00-00
Entered:2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Blood fibrinogen increased, International normalised ratio increased, Malaise, Productive cough, Prothrombin time prolonged, Retching

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: A. Fib, Glaucoma, Goiter, HTN, Osteoporosis, Post menopausal bleeding, Obesity,
Allergies: No
Diagnostic Lab Data: PT $g90.0, INR $g8.0. Fibrinogen 622.0
CDC 'Split Type':

Write-up: Patient became sick aroun 8/5. Not tested for COVID, but quarantined. Came into ED extreme weakness, productive cough, dry heaves. Oxygen was 89% room air

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1623489&WAYBACKHISTORY=ON

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