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This is VAERS ID 992209

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 992209
VAERS Form:2
Age:82.0
Sex:Female
Location:Alaska
Vaccinated:2021-01-08
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-30
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: Lorazepam, Haloperidol, Morphine
Current Illness: Hyperlipidemia
Preexisting Conditions: Hyperlipidemia
Allergies: NKDA, NKFA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Death


Changed on 5/7/2021

VAERS ID: 992209 Before After
VAERS Form:2
Age:82.0
Sex:Female
Location:Alaska
Vaccinated:2021-01-08
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-30
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: Lorazepam, Haloperidol, Morphine
Current Illness: Hyperlipidemia
Preexisting Conditions: Hyperlipidemia
Allergies: NKDA, NKFA NKFA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Death


Changed on 5/14/2021

VAERS ID: 992209 Before After
VAERS Form:2
Age:82.0
Sex:Female
Location:Alaska
Vaccinated:2021-01-08
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-30
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: Lorazepam, Haloperidol, Morphine
Current Illness: Hyperlipidemia
Preexisting Conditions: Hyperlipidemia
Allergies: NKDA, NKFA NKFA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Death

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