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This is VAERS ID 1428909

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428909
VAERS Form:2
Age:15.0
Sex:Female
Location:California
Vaccinated:2021-06-19
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, heart beat around 100 for few hours. Took Motrin.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1428909&WAYBACKHISTORY=ON


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