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This is VAERS ID 1369986

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1369986
VAERS Form:2
Age:22.0
Sex:Female
Location:Michigan
Vaccinated:2021-05-15
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 ER8733 / UNK - / SYR

Administered by: Public      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Pulmonary embolism, Computerised tomogram thorax

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: oral contraceptive, prozac
Current Illness: NA
Preexisting Conditions: NA
Allergies: Mangos
Diagnostic Lab Data: CTA Chest demonstrating PE
CDC 'Split Type':

Write-up: Fatigue, increasing shortness of breath for 1-2 weeks, diagnosed with pulmonary embolus on 6/2/21 in emergency department

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1369986&WAYBACKHISTORY=ON


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