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This is VAERS ID 1001488

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/12/2021

VAERS ID: 1001488
VAERS Form:2
Age:60.0
Sex:Female
Location:Texas
Vaccinated:2021-01-18
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-31
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: COVID infection November 2020
Preexisting Conditions: HTN, Afib, atherosclerotic cardiovascular disease;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient died several days after receiving the second dose of the vaccine. See additional information sent. An autopsy has been performed and results are pending.


Changed on 5/7/2021

VAERS ID: 1001488 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Texas
Vaccinated:2021-01-18
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-31
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: COVID infection November 2020
Preexisting Conditions: HTN, Afib, atherosclerotic cardiovascular disease;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient died several days after receiving the second dose of the vaccine. See additional information sent. An autopsy has been performed and results are pending.


Changed on 5/14/2021

VAERS ID: 1001488 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Texas
Vaccinated:2021-01-18
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-31
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: COVID infection November 2020
Preexisting Conditions: HTN, Afib, atherosclerotic cardiovascular disease;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient died several days after receiving the second dose of the vaccine. See additional information sent. An autopsy has been performed and results are pending.

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