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From the 5/7/2021 release of VAERS data:

This is VAERS ID 889726



Case Details

VAERS ID: 889726 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-10-11
Onset:2020-10-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) / SANOFI PASTEUR UJ467AB / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-10-11
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fibromyalgia, hyperhidrosis, dont know of any other conditions she might have
Preexisting Conditions:
Allergies: Morphine, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=889726


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