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This is VAERS ID 1367904

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367904
VAERS Form:2
Age:40.0
Sex:Male
Location:Connecticut
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Booster Given Too Early

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367904&WAYBACKHISTORY=ON


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