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This is VAERS ID 1367463

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367463
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-06-01
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dehydration, Full blood count, Nausea, Pyrexia, Syncope, Laboratory test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Allergies: nkda
Diagnostic Lab Data: cbc/chem/iv hydration.
CDC 'Split Type':

Write-up: body aches, nausea,, subjective fever/chills, near syncope.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367463&WAYBACKHISTORY=ON


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