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This is VAERS ID 1331280

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1331280
VAERS Form:2
Age:15.0
Sex:Female
Location:Arizona
Vaccinated:2021-05-16
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Diarrhoea, Vomiting

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: Aderall, low dose naltrexone, yaz, Prozac, bupropion
Current Illness: None
Preexisting Conditions: Ehlers danlos syndrome, narcolepsy, endometriosis, mcas
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Diarrhea, vomiting, stomach pain

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