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VAERS ID: 1854668

AGE: 16| SEX: F|State: WI

Description

Was very tired and had sore muscles on September 09. Found September 10, 5:25 am dead. There were excessive amounts of blood along with large blood clots that appear to have come vaginally.

Symptoms

Death, Fatigue, Myalgia, Thrombosis

Vaccines

VAX DATE: 06 September 2021 | ONSET DATE: 31 August 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • SYR
  • LA
  • 301308a

RECVDATE:08 November 2021
CAGE_YR:16
CAGE_MO:
RPT_DATE:
DIED:Y
DATEDIED:09 September 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:There was no autopsy ordered
V_ADMINBY:PVT
OTHER_MEDS:omeprazole gabapentin celecoxib nivolumab was last given on 9/03/2021
CUR_ILL:Squamous cell lung cancer, Hx of radiation therapy, on antineoplastic chemotherapy, Esophagitis due to radiation,
HISTORY:Recurrent respiratory papillomatosis, Tracheal papillomatosis
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08 November 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:Pineapple
V_FUNDBY:
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