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This is VAERS ID 986672

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 986672
VAERS Form:2
Age:77.0
Sex:Male
Location:Arizona
Vaccinated:2021-01-01
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: Cough, Death, Oxygen saturation decreased, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: 125 MG/5ML Suspension 5 ml in AM and 10 ml in PM Orally thru feeding tube Seroquel 50 MG Tablet 1 tablet Orally Once a day (crush and mix with water and thru feeding tube) Naproxen 125 MG/5ML Suspension 10 ml with food or milk Orally
Current Illness: none
Preexisting Conditions: CVA, seizures, Lung nodule
Allergies: iodine topical betadine
Diagnostic Lab Data: Covid-19 nasal swab
CDC 'Split Type':

Write-up: Patient tested Covid positive, cough, low oxygen levels, COVID Pneumonia, patient is now deceased

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