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This is VAERS ID 1433424

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433424
VAERS Form:2
Age:54.0
Sex:Male
Location:Minnesota
Vaccinated:2021-01-21
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: covid-19 test on 06/28/2021 was positive
CDC 'Split Type':

Write-up: Patient teste positive for Covid-19 on 06/28/2021, he has been fully vaccinated.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433424&WAYBACKHISTORY=ON


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