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This is VAERS ID 1421032

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1421032
VAERS Form:2
Age:25.0
Sex:Male
Location:Minnesota
Vaccinated:2021-06-20
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Fatigue, Headache, Injection site pain, Nausea, Pain, Pain in extremity, Pyrexia

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: Albuterol Inhaler for Asthma
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever Chills Aches/Joint Pain Headache Tiredness/Lack of Energy Nausea Diarrhea Injection Site Pain Arm Pain

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1421032&WAYBACKHISTORY=ON


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