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This is VAERS ID 1815295

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/29/2021

VAERS ID: 1815295
VAERS Form:2
Age:17.0
Sex:Female
Location:Texas
Vaccinated:2021-06-18
Onset:2021-07-21
Submitted:0000-00-00
Entered:2021-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Hyperglycaemia, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-23
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: Benadryl
Current Illness:
Preexisting Conditions: Obesity
Allergies: Orange Juice
Diagnostic Lab Data: Autopsy performed 07/27/2021
CDC 'Split Type':

Write-up: Acute Hyperglycemic Crisis

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