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This is VAERS ID 930912

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 930912
VAERS Form:2
Age:73.0
Sex:Male
Location:New York
Vaccinated:2021-01-07
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Diarrhoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-01-08
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Diarrhea followed by death 24 hrs after vaccination


Changed on 5/7/2021

VAERS ID: 930912 Before After
VAERS Form:2
Age:73.0
Sex:Male
Location:New York
Vaccinated:2021-01-07
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Diarrhoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-01-08
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Diarrhea followed by death 24 hrs after vaccination


Changed on 5/14/2021

VAERS ID: 930912 Before After
VAERS Form:2
Age:73.0
Sex:Male
Location:New York
Vaccinated:2021-01-07
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Diarrhoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2001-01-08
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Diarrhea followed by death 24 hrs after vaccination

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