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From the 4/30/2021 release of VAERS data:

This is VAERS ID 985451



Case Details

VAERS ID: 985451 (history)  
Form: Version 2.0  
Age: 101.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-01-06
Onset:2021-01-24
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 UN / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Death, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-24
   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: predniSONE Tablet 20 MG Mucinex Tablet Extended Release 12 Hour 600 MG (guaiFENesin ER) Acetaminophen Tablet 500 MG RisaQuad Capsule (Probiotic Product) BISACODYL 10MG SUPPOSITORY Morphine Sulfate (Concentrate) Solution 100 MG/5ML H
Current Illness:
Preexisting Conditions: VASCULAR DEMENTIA HEART FAILURE BULLOUS PEMPHIGOID
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID-19 + 1/11/2021, EXPIRED ON 1-24-2021


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=985451


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