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This is VAERS ID 1623587

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1623587
VAERS Form:2
Age:94.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-10
Onset:2021-07-29
Submitted:0000-00-00
Entered:2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 2 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Acute respiratory failure, Chest pain, Confusional state, Death, Pneumonia, COVID-19, SARS-CoV-2 test positive

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

Write-up: Client received Pfizer Dose 1 on 2/16/21 and Dose 2 on 3/10/21. On 7/29/21 she had chest pain and confusion. She was taken to the ER - diagnosed w/ "little pneumonia." While still in the hospital, she wasn''t tested for COVID until 8/2 when she tested positive. Client passed away on 8/8 with "Acute Hypoxemic Respiratory Failure due to COVID-19."

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