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This is VAERS ID 1372098

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1372098
VAERS Form:2
Age:11.0
Sex:Male
Location:Unknown
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 EW0162 / 1 LA / IM

Administered by: School      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: DOSE ONE OF A PFIZER VACCINE WAS GIVEN TO AN 11 YEAR OLD.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1372098&WAYBACKHISTORY=ON


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