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This is VAERS ID 928378

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 928378
VAERS Form:2
Age:95.0
Sex:Female
Location:Florida
Vaccinated:2021-01-06
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 2 UN / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Myocardial infarction, Tachycardia, Unresponsive to stimuli, Respiratory tract congestion, Hospice care

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: On: Norvasc 5mg daily Losartan 50mg daily Menest 0.3mg daily Vitamin C 500mg twice a day
Current Illness: N/A
Preexisting Conditions: HX of CHF Pneumonia HTN Cardiac Murmur Osteoarthritis
Allergies: Vasotec, Zocor, and Cymbalta
Diagnostic Lab Data: Unknown, will need to follow up with hospital.
CDC 'Split Type':

Write-up: Congestion Shortness of breath Tachycardia Transferred out 911. Per hospital, patient had a myocardial infarction, is unresponsive, and on hospice services.


Changed on 5/7/2021

VAERS ID: 928378 Before After
VAERS Form:2
Age:95.0
Sex:Female
Location:Florida
Vaccinated:2021-01-06
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 2 UN / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Myocardial infarction, Tachycardia, Unresponsive to stimuli, Respiratory tract congestion, Hospice care

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: On: Norvasc 5mg daily Losartan 50mg daily Menest 0.3mg daily Vitamin C 500mg twice a day
Current Illness: N/A
Preexisting Conditions: HX of CHF Pneumonia HTN Cardiac Murmur Osteoarthritis
Allergies: Vasotec, Zocor, and Cymbalta Cymbalta
Diagnostic Lab Data: Unknown, will need to follow up with hospital.
CDC 'Split Type':

Write-up: Congestion Shortness of breath Tachycardia Transferred out 911. Per hospital, patient had a myocardial infarction, is unresponsive, and on hospice services.


Changed on 5/14/2021

VAERS ID: 928378 Before After
VAERS Form:2
Age:95.0
Sex:Female
Location:Florida
Vaccinated:2021-01-06
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 2 UN / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Myocardial infarction, Tachycardia, Unresponsive to stimuli, Respiratory tract congestion, Hospice care

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: On: Norvasc 5mg daily Losartan 50mg daily Menest 0.3mg daily Vitamin C 500mg twice a day
Current Illness: N/A
Preexisting Conditions: HX of CHF Pneumonia HTN Cardiac Murmur Osteoarthritis
Allergies: Vasotec, Zocor, and Cymbalta Cymbalta
Diagnostic Lab Data: Unknown, will need to follow up with hospital.
CDC 'Split Type':

Write-up: Congestion Shortness of breath Tachycardia Transferred out 911. Per hospital, patient had a myocardial infarction, is unresponsive, and on hospice services.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=928378&WAYBACKHISTORY=ON

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