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History of Changes from the VAERS Wayback Machine |
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 (1 vaccine) | 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!!!
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