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This is VAERS ID 1376629

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376629
VAERS Form:2
Age:37.0
Sex:Male
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Allergy pill (Allertec) D3 Supplement Magnesium Citrate Pepcid Complete
Current Illness: None
Preexisting Conditions:
Allergies: Sulfa Penicillin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Left-side/back pain, sometimes throbbing, sometimes sharp. Felt similar to a mild kidney stone. Passed in a day or so. Note that I felt a slightly more intense version of this a few days after my first dose. I just assumed I had had a kidney stone at that point.

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