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This is VAERS ID 985451

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 985451
VAERS Form:2
Age:101.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-06
Onset:2021-01-24
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-24
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: 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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