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This is VAERS ID 935767

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 935767
VAERS Form:2
Age:85.0
Sex:Female
Location:California
Vaccinated:2021-01-07
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: IDK
Current Illness: Pneumomia
Preexisting Conditions: Dementia
Allergies: IDK
Diagnostic Lab Data: She had tested NEGATIVE for Covid per Doc Win he told us on Sunday.
CDC 'Split Type':

Write-up: My mother was given Pfizer vaccine on Thursday and she died 3 days later yesterday on Sunday!!!


Changed on 5/7/2021

VAERS ID: 935767 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:California
Vaccinated:2021-01-07
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: IDK
Current Illness: Pneumomia
Preexisting Conditions: Dementia
Allergies: IDK IDK
Diagnostic Lab Data: She had tested NEGATIVE for Covid per Doc Win he told us on Sunday.
CDC 'Split Type':

Write-up: My mother was given Pfizer vaccine on Thursday and she died 3 days later yesterday on Sunday!!!


Changed on 5/14/2021

VAERS ID: 935767 Before After
VAERS Form:2
Age:85.0
Sex:Female
Location:California
Vaccinated:2021-01-07
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK UN / UN

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: IDK
Current Illness: Pneumomia
Preexisting Conditions: Dementia
Allergies: IDK IDK
Diagnostic Lab Data: She had tested NEGATIVE for Covid per Doc Win he told us on Sunday.
CDC 'Split Type':

Write-up: My mother was given Pfizer vaccine on Thursday and she died 3 days later yesterday on Sunday!!!

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=935767&WAYBACKHISTORY=ON

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