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This is VAERS ID 1430142

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430142
VAERS Form:2
Age:15.0
Sex:Male
Location:North Carolina
Vaccinated:2021-06-24
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Urticaria

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

Write-up: Hives, mostly on arm where vaccine was given

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430142&WAYBACKHISTORY=ON


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