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This is VAERS ID 1624176

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1624176
VAERS Form:2
Age:63.0
Sex:Female
Location:Texas
Vaccinated:2021-03-18
Onset:2021-07-23
Submitted:0000-00-00
Entered:2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Respiratory failure, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-31
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALPRAZolam Oral (Tablet 0.25 mg) 1 tablet, q12h as needed. Aspirin Oral 325 mg, daily. AzaTHIOprine Oral. B12-Active Oral. ClonazePAM Oral. Home O2 @ 3LPM. Meloxicam Oral. Olmesartan-Amlodipine-HCTZ Oral. PredniSONE Oral. Sulfamethoxazole
Current Illness: Hypertension. Fibromyalgia. Pancreatitis. Paroxysmal Supraventricular Tachycardia. Osteoporosis. Depression. Thyroid Disease. BOOP: (Bronchiolitis obliterans organizing pneumonia).
Preexisting Conditions: Hypertension. Fibromyalgia. Pancreatitis. Paroxysmal Supraventricular Tachycardia. Osteoporosis. Depression. Thyroid Disease. BOOP: (Bronchiolitis obliterans organizing pneumonia).
Allergies: NKDA
Diagnostic Lab Data: SARS Antigen test (+) on 7/25/21
CDC 'Split Type':

Write-up: Respiratory failure due to Covid pneumonia; Hospitalized 7 days; deceased

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1624176&WAYBACKHISTORY=ON

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