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This is VAERS ID 992884

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 992884
VAERS Form:2
Age:57.0
Sex:Female
Location:Kansas
Vaccinated:2021-01-16
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Death, Fatigue, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-17
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Sulfa Allergy
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: The next morning after vaccine, patient ran a fever, vomited, and was very tired. Mom laid her down to sleep and when she checked later, patient had passed away.


Changed on 5/7/2021

VAERS ID: 992884 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Kansas
Vaccinated:2021-01-16
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Death, Fatigue, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-17
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Sulfa Allergy Allergy
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: The next morning after vaccine, patient ran a fever, vomited, and was very tired. Mom laid her down to sleep and when she checked later, patient had passed away.


Changed on 5/21/2021

VAERS ID: 992884 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Kansas
Vaccinated:2021-01-16
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Death, Fatigue, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-17
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Sulfa Allergy Allergy
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: The next morning after vaccine, patient ran a fever, vomited, and was very tired. Mom laid her down to sleep and when she checked later, patient had passed away.

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