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Well it should come as a surprise because it's fairly typical of all these "died suddenly" cases.

A few days ago Kirsch tweeted a link to a news story and wrote "7 dead, dozens injured when Mississippi bus overturns. Could be COVID vaccine related, but hard to tell." (https://x.com/stkirsch/status/1829936506267713913)

But another article about the same story said that the bus experienced a tire failure: "Seven Mexican travelers were killed and dozens of other people injured early Saturday when a commercial passenger bus headed for Mexico experienced tire failure and rolled over off a highway east of Vicksburg, Mississippi, officials said." (https://edition.cnn.com/2024/08/31/us/mississippi-bus-crash-i-20/index.html)

Ed Dowd's book "Cause Unknown" has a couple of alternative cover images. One version features 7 athletes who are supposed to have died suddenly, but three of them died before their age group was eligible for vaccination, and one of them died by suicide: https://x.com/WaitingForPerot/status/1739655583450517957.

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