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This is VAERS ID 985205

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 985205
VAERS Form:2
Age:75.0
Sex:Male
Location:Ohio
Vaccinated:2021-01-25
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 1 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Dizziness, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Yes, but caller does not know what they are.
Current Illness: No
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient was feeling dizzy and under the weather after the vaccination. The following day he died in his sleep during a nap.


Changed on 5/7/2021

VAERS ID: 985205 Before After
VAERS Form:2
Age:75.0
Sex:Male
Location:Ohio
Vaccinated:2021-01-25
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 1 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Dizziness, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Yes, but caller does not know what they are.
Current Illness: No
Preexisting Conditions: None
Allergies: No No
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient was feeling dizzy and under the weather after the vaccination. The following day he died in his sleep during a nap.


Changed on 5/21/2021

VAERS ID: 985205 Before After
VAERS Form:2
Age:75.0
Sex:Male
Location:Ohio
Vaccinated:2021-01-25
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 1 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Dizziness, Malaise

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-26
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: Yes, but caller does not know what they are.
Current Illness: No
Preexisting Conditions: None
Allergies: No No
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient was feeling dizzy and under the weather after the vaccination. The following day he died in his sleep during a nap.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=985205&WAYBACKHISTORY=ON


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