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This is VAERS ID 1386051

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1386051
VAERS Form:2
Age:12.0
Sex:Female
Location:California
Vaccinated:2021-05-22
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO175 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, C-reactive protein, Full blood count, Urticaria, Red blood cell sedimentation rate, Metabolic function test

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Basic Metabolic Panel C-Reactive Protein CBC Sedimentation Rate We weren''t given the results
CDC 'Split Type':

Write-up: She broke out in hives on June 4, they haven''t cleared up yet. She was experiencing intense joint pain this morning (June 9) and we had to take her to the ER. They did blood tests, stated that her blood test for inflamation was mildly high.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1386051&WAYBACKHISTORY=ON


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