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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0162 / 1||AR / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Death, Pericardial haemorrhage, Autopsy, Toxicologic test normal, Gene mutation identification test negative
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Preexisting Conditions: IBS,
Diagnostic Lab Data: 1) Genomic Sequencing and Deletion/Duplication Analysis of Genes Associated with Arterial Aneuryms and Dissections: No abnormailty identified in genes tested Toxicology Report: Examination of the specimen(s) submitted did not reveal any positive findings of toxicological significance by procedures outlined in the Analysis Summary.
CDC 'Split Type':
Write-up: Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac).
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