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This is VAERS ID 962966

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 962966
VAERS Form:2
Age:80.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Nausea, Syncope, Vomiting, Laboratory test, Pharyngeal swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-16
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: atrial fibrillation, hypertension, and hyperlipidemia
Allergies: Codeine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On Saturday, 1/16/2021, Patient went to the grocery store. Upon her return, she indicated she was experiencing N/V and some throat swelling. Patient subsequently collapsed and expired before she could be brought to an emergency room. During investigation by Coroners Office, it has been reported that Patient may have gotten some takeout food while she was out. Labs are pending and the Coroners investigation is ongoing. Spouse believes that her death was caused by the vaccine.


Changed on 5/7/2021

VAERS ID: 962966 Before After
VAERS Form:2
Age:80.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Nausea, Syncope, Vomiting, Laboratory test, Pharyngeal swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-16
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: atrial fibrillation, hypertension, and hyperlipidemia
Allergies: Codeine Codeine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On Saturday, 1/16/2021, Patient went to the grocery store. Upon her return, she indicated she was experiencing N/V and some throat swelling. Patient subsequently collapsed and expired before she could be brought to an emergency room. During investigation by Coroners Office, it has been reported that Patient may have gotten some takeout food while she was out. Labs are pending and the Coroners investigation is ongoing. Spouse believes that her death was caused by the vaccine.


Changed on 5/14/2021

VAERS ID: 962966 Before After
VAERS Form:2
Age:80.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Nausea, Syncope, Vomiting, Laboratory test, Pharyngeal swelling

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-16
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: atrial fibrillation, hypertension, and hyperlipidemia
Allergies: Codeine Codeine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On Saturday, 1/16/2021, Patient went to the grocery store. Upon her return, she indicated she was experiencing N/V and some throat swelling. Patient subsequently collapsed and expired before she could be brought to an emergency room. During investigation by Coroners Office, it has been reported that Patient may have gotten some takeout food while she was out. Labs are pending and the Coroners investigation is ongoing. Spouse believes that her death was caused by the vaccine.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=962966&WAYBACKHISTORY=ON


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