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This is VAERS ID 1406459

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1406459
VAERS Form:2
Age:11.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient with a . Was not eligible for COVID vaccine since birthday later in year.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1406459&WAYBACKHISTORY=ON


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