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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1376026



Case Details

VAERS ID: 1376026 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0150 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonsae 50mcg, Omeprazole 40mcg
Current Illness: none
Preexisting Conditions:
Allergies: No Known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient received his second Pfizer COVID vaccine at 15 days and not the minimum of 17 days apart


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376026


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