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This is VAERS ID 977963

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 977963
VAERS Form:2
Age:81.0
Sex:Male
Location:Alabama
Vaccinated:2021-01-26
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Unresponsive to stimuli

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: (Report per patients wife ) Patient took his usual nap around 12pm. She found him lying in the bed unresponsvie at 2pm. EMS was not called. Patient''s wife called the Funeral home.


Changed on 5/7/2021

VAERS ID: 977963 Before After
VAERS Form:2
Age:81.0
Sex:Male
Location:Alabama
Vaccinated:2021-01-26
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Unresponsive to stimuli

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: (Report per patients wife ) Patient took his usual nap around 12pm. She found him lying in the bed unresponsvie at 2pm. EMS was not called. Patient''s wife called the Funeral home.


Changed on 5/21/2021

VAERS ID: 977963 Before After
VAERS Form:2
Age:81.0
Sex:Male
Location:Alabama
Vaccinated:2021-01-26
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death, Unresponsive to stimuli

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: (Report per patients wife ) Patient took his usual nap around 12pm. She found him lying in the bed unresponsvie at 2pm. EMS was not called. Patient''s wife called the Funeral home.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=977963&WAYBACKHISTORY=ON


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