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This is VAERS ID 1427958

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1427958
VAERS Form:2
Age:46.0
Sex:Male
Location:Washington
Vaccinated:2021-03-16
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 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)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM, obesity, HTN, anxiety, hyperlipidemia, chronic pain
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: tested positive for covid-19 after completing covid-19 vaccine series

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1427958&WAYBACKHISTORY=ON


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