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This is VAERS ID 998579

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 998579
VAERS Form:2
Age:82.0
Sex:Male
Location:Kentucky
Vaccinated:2021-01-25
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Patient is a nursing home resident please notify facility.
Current Illness: Patient is a nursing home resident please notify facility.
Preexisting Conditions: Patient is a nursing home resident please notify facility.
Allergies: Iodine, ACE Inhibitors
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Resident passed away 2/2/2021.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=998579&WAYBACKHISTORY=ON


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