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This is VAERS ID 1368161

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368161
VAERS Form:2
Age:61.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-22
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 EW0172 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Unevaluable event, SARS-CoV-2 test

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: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.
Current Illness: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.
Preexisting Conditions: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.
Allergies: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.
Diagnostic Lab Data: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.
CDC 'Split Type':

Write-up: Unknown. Patient was tested at our mobile testing site. No primary care provider on file.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368161&WAYBACKHISTORY=ON


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