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This is VAERS ID 1371698

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371698
VAERS Form:2
Age:39.0
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 EW0177 / 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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data: unknown, cant get ahold of patient
CDC 'Split Type':

Write-up: vaccination error, patient given 2nd dose only after 7 days from first dose

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371698&WAYBACKHISTORY=ON


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