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This is VAERS ID 983189

History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 983189
VAERS Form:2
Age:92.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-05
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 AR / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cough, Oxygen saturation decreased, Unresponsive to stimuli, Vital functions abnormal, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-19
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: Alprazolam, Amlodipine, Lexapro, Cozaar, Metoprolol, Tylenol
Current Illness: COVID-19
Preexisting Conditions: ASHD, Hyperlipidemia, Hypertension, Dementia, Anxiety, Dysphagia
Allergies: Fosomax
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient tested positive for COVID-19 by rapid test on 1/6/21. She began to demonstrate a dry cough on 1/11/21. On 1/12/21 at 1723 her oxygen saturation dropped to 79% and oxygen was applied at 4L per nasal cannula. On 1/19/21 at 2130 Patient was unresponsive and without vital signs. Orders were for DNR and CPR was not initiated.

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