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This is VAERS ID 930466

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 930466
VAERS Form:2
Age:82.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-05
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: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, shortness of breath and chest pain that resulted in a heart attack a few hours after vaccination


Changed on 5/7/2021

VAERS ID: 930466 Before After
VAERS Form:2
Age:82.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-05
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: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, shortness of breath and chest pain that resulted in a heart attack a few hours after vaccination


Changed on 5/14/2021

VAERS ID: 930466 Before After
VAERS Form:2
Age:82.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-05
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: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, shortness of breath and chest pain that resulted in a heart attack a few hours after vaccination

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