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This is VAERS ID 1378523

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378523
VAERS Form:2
Age:14.0
Sex:Male
Location:Oregon
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Disturbance in attention, Feeling abnormal, Headache, Nausea, Pyrexia, Hot flush

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Headache, Nausea, hot cold flashes, fever, dizziness, foggy thought and trouble concentrating

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378523&WAYBACKHISTORY=ON


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