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This is VAERS ID 1430170

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430170
VAERS Form:2
Age:20.0
Sex:Male
Location:Indiana
Vaccinated:2021-06-25
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 - / 2 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Headache, 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin, cephalosporin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, Body Aches, Chills

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430170&WAYBACKHISTORY=ON


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