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

This is VAERS ID 1347329



Case Details

VAERS ID: 1347329 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-01-12
Onset:2021-05-22
   Days after vaccination:130
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: humira
Current Illness:
Preexisting Conditions: chron''s, HTN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: + covid test results 5/24 despite being fully vaccinated for covid 19.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347329


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