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From the 10/8/2021 release of VAERS data:

This is VAERS ID 996291



Case Details

VAERS ID: 996291 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-01-07
Onset:2021-01-29
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Haloperidol, Morphine, Lorazepam
Current Illness: HTN, Cerebral Infarction, Anxiety, Hx breast neoplasm
Preexisting Conditions: HTN, Cerebral Infarction, Anxiety, Hx breast neoplasm
Allergies: Codeine, Tramadol, Valsartan, Keflex, Penicillins
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Death


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=996291

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