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This is VAERS ID 1633600

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1633600
VAERS Form:2
Age:86.0
Sex:Male
Location:Unknown
Vaccinated:2021-08-16
Onset:2021-08-22
Submitted:0000-00-00
Entered:2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Cardiac arrest, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-22
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: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: patient had cardiac arrest x2 and died.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1633600&WAYBACKHISTORY=ON

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