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This is VAERS ID 1433442

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433442
VAERS Form:2
Age:13.0
Sex:Unknown
Location:Illinois
Vaccinated:2021-06-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Product storage error

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433442&WAYBACKHISTORY=ON


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