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This is VAERS ID 1246822

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1246822
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-30
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D3, epiduo forte, synthroid
Current Illness: none
Preexisting Conditions: hypothyroidism, hx of tuberculosis
Allergies: none
Diagnostic Lab Data: 4/19/2021 PCR + COVID-19
CDC 'Split Type':

Write-up: Received 2nd dose of COVID vaccine on 1/30/2021. Patient had family member diagnosed with COVID-19 on 4/15/2021. Tested 4/19/2021 and positive for COVID-19 but no symptoms.


Changed on 5/14/2021

VAERS ID: 1246822 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-30
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D3, epiduo forte, synthroid
Current Illness: none
Preexisting Conditions: hypothyroidism, hx of tuberculosis
Allergies: none none
Diagnostic Lab Data: 4/19/2021 PCR + COVID-19
CDC 'Split Type':

Write-up: Received 2nd dose of COVID vaccine on 1/30/2021. Patient had family member diagnosed with COVID-19 on 4/15/2021. Tested 4/19/2021 and positive for COVID-19 but no symptoms.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246822&WAYBACKHISTORY=ON


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