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This is VAERS ID 965910

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 965910
VAERS Form:2
Age:53.0
Sex:Female
Location:D.C.
Vaccinated:2021-01-11
Onset:2021-01-22
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELI284 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-01
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: not known
Current Illness: not known
Preexisting Conditions: not known
Allergies: not known
Diagnostic Lab Data: Not known at this time.
CDC 'Split Type':

Write-up: The employee found dead at her home on 1/21/2021.


Changed on 5/7/2021

VAERS ID: 965910 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:D.C.
Vaccinated:2021-01-11
Onset:2021-01-22
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELI284 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-01
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: not known
Current Illness: not known
Preexisting Conditions: not known
Allergies: not known known
Diagnostic Lab Data: Not known at this time.
CDC 'Split Type':

Write-up: The employee found dead at her home on 1/21/2021.


Changed on 5/14/2021

VAERS ID: 965910 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:D.C.
Vaccinated:2021-01-11
Onset:2021-01-22
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELI284 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-01
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: not known
Current Illness: not known
Preexisting Conditions: not known
Allergies: not known known
Diagnostic Lab Data: Not known at this time.
CDC 'Split Type':

Write-up: The employee found dead at her home on 1/21/2021.

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