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This is VAERS ID 989015

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 989015
VAERS Form:2
Age:69.0
Sex:Male
Location:Connecticut
Vaccinated:2021-01-26
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 2 - / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-27
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:
Preexisting Conditions: End Stage Renal Disease, NON ST Elevation (NSTEM) Myocardial Infarction,, Type II Diabetes Mellitus, Cardiac Arrest cause unspecified, Paroxysmal atrial fibrillation, acute embolism and thrombosis of unspecified deep veins of right lower extremity, Alzheimer''s disease, Chronis systolic heart failure,
Allergies: No known allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Myocardial Infarction

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=989015&WAYBACKHISTORY=ON


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