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This is VAERS ID 986901

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 986901
VAERS Form:2
Age:33.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-28
Onset:2021-01-28
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-29
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: Copaxone
Current Illness:
Preexisting Conditions: Optic neuritis; asthma
Allergies: None
Diagnostic Lab Data: Autopsy pending
CDC 'Split Type':

Write-up: Patient received vaccine uneventfully with no acute concerns. Left clinic and by report went out with friends. Spoke to father on phone at or around 9:00 pm. Failed to show up to work and was found dead at home. Other details pending

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=986901&WAYBACKHISTORY=ON


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