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This is VAERS ID 1381939

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1381939
VAERS Form:2
Age:20.0
Sex:Female
Location:Oregon
Vaccinated:2021-06-02
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 3 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Dysphagia, Fatigue, Flushing, Headache, Hyperhidrosis, Lethargy, Throat tightness, Incorrect dose administered, Respiratory symptom

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: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: respiratory symptoms-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Error: Wrong Dose of Vaccine - Too High

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1381939&WAYBACKHISTORY=ON


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