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This is VAERS ID 1392601

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1392601
VAERS Form:2
Age:21.0
Sex:Male
Location:Ohio
Vaccinated:2021-05-05
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
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: SARS-COV-2 RAPID 03-jun-21
CDC 'Split Type':

Write-up: PETIENT TESTED POSITIVE FOR COVID 19 AFTER BEING FULLY VACCINATED

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1392601&WAYBACKHISTORY=ON


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