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This is VAERS ID 1417937

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1417937
VAERS Form:2
Age:32.0
Sex:Female
Location:Hawaii
Vaccinated:2021-04-14
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / UNK LA / IM

Administered by: Private      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)? 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: Penicillin
Diagnostic Lab Data: COVID PCR test on 6/20/21
CDC 'Split Type':

Write-up: +COVID test on 6/202/21 after completing vaccine series Pfizer COVID vaccine on 3/24/21 and 4/14/21

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1417937&WAYBACKHISTORY=ON


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