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This is VAERS ID 1428917

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428917
VAERS Form:2
Age:16.0
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 EW0173 / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Epistaxis, Headache, Menstruation irregular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None known
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 2d post receiving the second dose developed a nose bleed - lasted 10 minutes 2d post had headache all day 3d post started her menses (would not have been typically due at that time)

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1428917&WAYBACKHISTORY=ON


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