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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 929359 |
VAERS Form: | 2 |
Age: | 76.0 |
Sex: | Male |
Location: | Florida |
Vaccinated: | 2021-01-06 |
Onset: | 2021-01-06 |
Submitted: | 0000-00-00 |
Entered: | 2021-01-08 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK9231 / 2 | LA / IM |
Administered by: Senior Living Purchased by: ??
Symptoms: Death, Oxygen saturation decreased, Breath sounds abnormal
Life Threatening? No
Birth Defect? No
Died? Yes
Date died:2021-01-08
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: Cerebral Atherosclerosis, malnutrition, thrombocytopenia, cva, hypothyroidism
Preexisting Conditions: Cerebral Atherosclerosis, malnutrition, thrombocytopenia, cva, hypothyroidism
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: 3:07 pm lung sounds diminished oxygen sats 68%, oxygen applied Oxygen sats remained low for next 36 hours ( patient on Hospice care ) expired 6:22 am 1-8-21
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