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This is VAERS ID 994544

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 994544
VAERS Form:2
Age:84.0
Sex:Female
Location:Texas
Vaccinated:2021-01-31
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cyanosis, Death, Diarrhoea haemorrhagic, Dizziness, Nausea, Resuscitation, Toothache, Unresponsive to stimuli, Autopsy, Dental discomfort

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-31
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient went home around 11 am on 1-31-21 after her vaccine and 15 minute observation period. She was eating breakfast after at home and complained to a neighbor that her teeth hurt and she was nauseated after eating. In the afternoon, she felt dizzy and had diarrhea accompanied with blood. Close to 9 PM, her son went to check on her. The patient was found on the floor--she was unresponsive and had purple lips. Her son called an ambulance and started chest compressions. The patient passed away at the hospital. The doctor has ordered an autopsy, and the results are pending.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=994544&WAYBACKHISTORY=ON


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