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This is VAERS ID 1396452

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1396452
VAERS Form:2
Age:32.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Feeling abnormal, Oedema, Rash, Tachycardia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PATIENT REPORTED WITHIN 24 HOURS POST VACCINE HE EXPERIENCED FULL BODY RASH, EDEMA, TACHYCARDIA, AND SHORTNESS OF BREATH. HE SAUGHT EVALUATION FROM THE ED AND WAS THEN DISCHARGED WITH RX FOR TYLENOL. PATIENT STATED STILL FEELING OFF ON 6/14/21 AND I ADVISED HIM TO GO BACK TO THE DOCTOR.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1396452&WAYBACKHISTORY=ON


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