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This is VAERS ID 987469

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 987469
VAERS Form:2
Age:89.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-01-26
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Atelectasis, Chest X-ray abnormal, Computerised tomogram abnormal, Diarrhoea, Pneumonia aspiration, Respiratory rate increased, Vomiting, Computerised tomogram abdomen, Culture negative, Urine analysis normal, Lung opacity

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-28
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:
Current Illness: was being treated with antibiotic prednisone for hand swelling day prior
Preexisting Conditions: history of bowel obstructions and diverticulosis, AFIB, Dementia, PANCYTOPENIA
Allergies:
Diagnostic Lab Data: Per hospital report CXR- aspiration pneumonia, UA C&S - all negative, CT of abdomen and pelvis showing some bibasilar airspace opacities and atelectasis. possible evidence of enterocolitis symptoms may also be secondary to immune response to second COVID 19 vaccination.
CDC 'Split Type':

Write-up: emesis bright yellow in color, liquid BM, increased respirations

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