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This is VAERS ID 1327147

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1327147
VAERS Form:2
Age:52.0
Sex:Male
Location:Georgia
Vaccinated:2021-04-28
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram, Pruritus, Skin hypertrophy, Ultrasound scan, Blood test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan, Amlodepine,
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: Any Cillians...
Diagnostic Lab Data: blood drawn, CT- Scan, EKG, Ultrsound of legs and heart. Hospitalization.
CDC 'Split Type':

Write-up: Uncontrolable itch and elephant type skin in mid section. Trouble breathing..

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