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This is VAERS ID 1662188

History of Changes from the VAERS Wayback Machine

First Appeared on 9/3/2021

VAERS ID: 1662188
VAERS Form:2
Age:76.0
Sex:Male
Location:Tennessee
Vaccinated:2021-02-02
Onset:2021-09-01
Submitted:0000-00-00
Entered:2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Death, Vaccine breakthrough infection, COVID-19

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-09-01
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT IS A BREAKTHROUGH CASE OF COVID-19 THAT EXPIRED ON 9/1/2021.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1662188&WAYBACKHISTORY=ON

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