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This is VAERS ID 1382003

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1382003
VAERS Form:2
Age:12.0
Sex:Female
Location:Florida
Vaccinated:2021-06-04
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 EW0171 / 2 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Chills, Pyrexia, Rash, Throat tightness

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole
Current Illness:
Preexisting Conditions: pneumonia a couple years ago
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Complaining of chest tightness in the morning, then it progressed to pain, subjective fever, chest, rashes on arm and face, shivering. Feels throat is tightening.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1382003&WAYBACKHISTORY=ON


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