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This is VAERS ID 1430914

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430914
VAERS Form:2
Age:15.0
Sex:Male
Location:Nebraska
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / SYR

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

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: Zyrtec
Current Illness: Cold 3 weeks prior that lasted 5 days
Preexisting Conditions: Asthma
Allergies: Peanut and treenut allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430914&WAYBACKHISTORY=ON


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