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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||026C21A / 2||- / SYR|
Administered by: Private Purchased by: ??
Symptoms: Abdominal pain, Chest pain, Death, Dyspnoea, Lethargy, Autopsy
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Hydroxyzine pamoate
Preexisting Conditions: Hypertension, non-insulin dependent diabetes
Diagnostic Lab Data: Autopsy on May 10, 2021. Results pending.
CDC 'Split Type':
Write-up: Lethargy began the day of vaccine and shortness of breath along with abdominal and chest pain followed the next day. Decedent was found deceased the next evening.
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