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This is VAERS ID 1427711

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1427711
VAERS Form:2
Age:38.0
Sex:Male
Location:New Hampshire
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Acne, Cough, Dyspnoea, Erythema, Wheezing

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sudden cough, wheezing and shortness of breath daily one time during 24 hours for 20-40mins. Red acne on arm stayed for 10 days.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1427711&WAYBACKHISTORY=ON


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