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This is VAERS ID 1392828

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1392828
VAERS Form:2
Age:17.0
Sex:Male
Location:Georgia
Vaccinated:2021-06-03
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 EW0186 / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Extra dose administered

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: Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Third Pfizer vaccination was given in error.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1392828&WAYBACKHISTORY=ON


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