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This is VAERS ID 986200

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 986200
VAERS Form:2
Age:82.0
Sex:Female
Location:New Mexico
Vaccinated:2020-12-30
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-15
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: Atorvastatin, Metformin and Atenolol.
Current Illness: None.
Preexisting Conditions: Uncontrolled DMII and HTN.
Allergies: NKA.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Death

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=986200&WAYBACKHISTORY=ON


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