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This is VAERS ID 1303248

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1303248
VAERS Form:2
Age:32.0
Sex:Male
Location:New Jersey
Vaccinated:2021-04-09
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: CT IMAGING
CDC 'Split Type':

Write-up: FIRST DOSE ADMINISTERED 3/22/21. SECOND DOSE ADMINISTERED 4/9/21. DIAGNOSED WITH APPENDICITIS 5/6/21 WITH ONSET OF SYMPTOMS 5/2/21. LAPAROSCOPIC APPENDECTOMY PERFORMED 5/6/21.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1303248&WAYBACKHISTORY=ON


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