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This is VAERS ID 1685422

History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685422
VAERS Form:2
Age:93.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-20
Onset:2021-08-16
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 2 - / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cough, Pyrexia, Rhinorrhoea, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-30
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: Dofetilide 250mcg daily, Polyethyl Glycol powder 1 capful with water daily. ASA 81 mg daily. Donepezil 5 mg daily. Latanoprost sol .005% 1 drop to each eye at night. Senna 0.8 mg daily. Levothyroxine 25 mcg daily. Lorazepam 0.5 mg twi
Current Illness: none known
Preexisting Conditions: Hypothyroidism. Senile Hyperkeratosis. Scoliosis deformity of the spine. Dementia with behavioral disturbances. Alzheimers Disease. Atrial Fibrillation.
Allergies: Iodine contrast
Diagnostic Lab Data: Covid positive 08/16/2021
CDC 'Split Type':

Write-up: Fever, cough, runny nose

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1685422&WAYBACKHISTORY=ON

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