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This is VAERS ID 1727443

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1727443
VAERS Form:2
Age:18.0
Sex:Male
Location:Florida
Vaccinated:2021-04-25
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731, EW0167 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Death, Pulmonary embolism

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-07
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: ADHD medication
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient died on July 7, 2021 of a pulmonary embolism. The clots were in his lungs.

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