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This is VAERS ID 1628577

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1628577
VAERS Form:2
Age:82.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-01
Onset:2021-04-16
Submitted:0000-00-00
Entered:2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / -

Administered by: Private      Purchased by: ??
Symptoms: Choking, Death, Mouth haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-16
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: Not sure
Current Illness: Type 2 diabetes
Preexisting Conditions: Type 2 diabetes
Allergies: None
Diagnostic Lab Data: None. Medical Examiner refused to conduct autopsy even after the family begged for it to be done and the primary wouldn?t sign off on the death cert.
CDC 'Split Type':

Write-up: Death on 4/16/2021?. Hemorrhaged (mouth), and choked on blood. Family was present at the time of occurrence but nothing could be done to help her. This was 16 days after receiving the J and J shot and would not perform autopsy due to age even when her primary wouldn?t sign off on the death cert.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1628577&WAYBACKHISTORY=ON

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