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This is VAERS ID 1327326

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327326
VAERS Form:2
Age:68.0
Sex:Male
Location:Georgia
Vaccinated:2020-12-29
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 EL3248 / 2 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327326&WAYBACKHISTORY=ON


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