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This is VAERS ID 937444

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 937444
VAERS Form:2
Age:86.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-11
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-11
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:
Current Illness: Brain bleed, sleep apnea, htn
Preexisting Conditions: Brain bleed, sleep apnea, htn
Allergies:
Diagnostic Lab Data: The county coroner declared her death was related to a heart attack
CDC 'Split Type':

Write-up: Resident was found deceased at approximately 6pm in her apartment


Changed on 5/7/2021

VAERS ID: 937444 Before After
VAERS Form:2
Age:86.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-11
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-11
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:
Current Illness: Brain bleed, sleep apnea, htn
Preexisting Conditions: Brain bleed, sleep apnea, htn
Allergies:
Diagnostic Lab Data: The county coroner declared her death was related to a heart attack
CDC 'Split Type':

Write-up: Resident was found deceased at approximately 6pm in her apartment


Changed on 5/14/2021

VAERS ID: 937444 Before After
VAERS Form:2
Age:86.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-11
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-11
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:
Current Illness: Brain bleed, sleep apnea, htn
Preexisting Conditions: Brain bleed, sleep apnea, htn
Allergies:
Diagnostic Lab Data: The county coroner declared her death was related to a heart attack
CDC 'Split Type':

Write-up: Resident was found deceased at approximately 6pm in her apartment

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=937444&WAYBACKHISTORY=ON

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