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This is VAERS ID 1369970

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1369970
VAERS Form:2
Age:35.0
Sex:Male
Location:Colorado
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain

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: PATIENT DOES NOT FILL AT OUR PHARMACY
Current Illness: NONE
Preexisting Conditions: NONE KNOWN
Allergies: NONE REPORTED
Diagnostic Lab Data: UNKNOWN
CDC 'Split Type':

Write-up: PATIENT WAS FINE WHEN HE LEFT THE PHARMACY. HE CALLED ABOUT AN HOUR LATER STATING THAT HE HAD SEVERE ABDOMINAL PAINS SUCH THAT HE COULD ONLY STAY ON HIS HANDS AND KNEES WITHOUT MAJOR DISCOMFORT. TRIED APAP AND NAUSEA MEDICATION AND THAT DID NOT WORK. HE CALLED BACK 2 HOURS LATER STATING THAT HIS CONDITION WAS NOT ANY BETTER. I ADVISED THAT HE MAKE HIS WAY INTO THE ER.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1369970&WAYBACKHISTORY=ON


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