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This is VAERS ID 1349849

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1349849
VAERS Form:2
Age:28.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-08
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK3750 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Anaphylaxis c/o chest tightness and "unable to breathe"-epi pen administered with immediate response. Narrative: c/o chest tightness. epi pen administered with immediate response. "I can breath now," pt. stated. Monitored, d/c''d to home/released from work.

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