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This is VAERS ID 1368054

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368054
VAERS Form:2
Age:53.0
Sex:Female
Location:Georgia
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 EW0167 / 1 AR / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain, Nausea, Vomiting

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

Write-up: Systemic: Abdominal Pain-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368054&WAYBACKHISTORY=ON

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