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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EL3302 / 1||RA / IM|
Administered by: Senior Living Purchased by: ??
Symptoms: Deep vein thrombosis
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Preexisting Conditions: COPD
Allergies: Ace Inhibitors, paroxetine, sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient received the Pfizer covid19 dose 1 on 1/21,2021, subsequently developed diagnoses by Dr. on 2/4/21, left lower extremity, Dr. authorized the second shot and patient received this on 2/11/21
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