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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1327326



Case Details

VAERS ID: 1327326 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Georgia  
Vaccinated:2020-12-29
Onset:2021-05-04
   Days after vaccination:126
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0141 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CARDIAVASCULAR DISEASE AND IMMUNOCOMPROMISED. DISABILITY: paralyzed from C5 down in June 2019
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalization


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327326


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