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This is VAERS ID 950935

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 1/22/2021

VAERS ID: 950935
VAERS Form:2
Age:
Sex:Female
Location:California
Vaccinated:2021-01-12
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-01-17
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-15
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Resident expired

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