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This is VAERS ID 1428466

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428466
VAERS Form:2
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-02
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 EW0182 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Back pain, Chest pain, Electrocardiogram normal, Nausea, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Symptoms: low fever, back and chest pain, mild nausea - started 6/4/21 and get worse over 4 days. Urgent care seeked on 6/8/21, EKG shown normal, no treatment received. Symptoms abruptly disappeared on 6/10/21

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1428466&WAYBACKHISTORY=ON


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