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From the 4/30/2021 release of VAERS data:

This is VAERS ID 995441



Case Details

VAERS ID: 995441 (history)  
Form: Version 2.0  
Age: 94.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-01-25
Onset:2021-01-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 UN / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Death, Dysstasia, Mobility decreased, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-27
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin, Eliquis, Donepezil HCL, Aspirin EC, Fluticasone Prop, Losartan Potas, Desonide, Levothyroxine, Melatonin, Potassium Cl, Cerovite Senior, Vitamin B-12, Vitamin D3 5,000 Unit, Docusate Sodium, Latanoprost OS, Torsemide
Current Illness: None
Preexisting Conditions: Mild Cognitive Impairment, Hypothyroidism, Coronary Artery Disease, Hyperlipidemia, Hypertension, Neuropathy, Vertigo, Vitamin B deficiency
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: The vaccine was given on Monday. Tuesday afternoon he developed weakness in both legs and could not stand up. This was a new development; he had neuropathy in one leg but he had been able to stand up and walk three hours before. He was helped to the bathroom. He said he felt better and might want to stand up again. He was helped to bed. He was found dead around 5:30 Wednesday morning. He was 94 years old and had a lot of medical conditions. No one has indicated his death had anything to do with the vaccine. I''m sure it''s just a coincidence that he died so soon after receiving the vaccine


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