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This is VAERS ID 1316297

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1316297
VAERS Form:2
Age:29.0
Sex:Female
Location:California
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Gingival bleeding, Headache, Myalgia, Pyrexia, Stomatitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, muscle ache, fever, gum bleeding, oral sore

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1316297&WAYBACKHISTORY=ON


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