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From the 1/29/2021 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 972782

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Case Details

VAERS ID: 972782 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: California  
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Senior Living       Purchased by: ?
Symptoms: Acute myeloid leukaemia, Death
SMQs:, Haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-23
   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: Amlodipine 2.5 mg Eliquis 2.5mg Aspirin 81 mg Cholecalciferol 1.25 mg Ondansetron 4mg , Thiamine HCL 100, Inrebic 100mg Oral Capsule
Current Illness: Acute Myeloid Leukemia
Preexisting Conditions: Myelofibrosis Hypertension Generalized Weakness Ulcerative Colitis Lymphadenopathy Diabetes Mellitus Type 2 Mets to Bone, Lymph node metases, DVT
Allergies: Compazine Trazadone, Augmentin Penicillin
Diagnostic Lab Data: Not Applicable
CDC Split Type:

Write-up: Resident expired on 1/23/21 . Resident receiving care under hospice ,diagnosis Acute Myeloid Leukemia.

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