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This is VAERS ID 1434032

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1434032
VAERS Form:2
Age:18.0
Sex:Male
Location:Tennessee
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given outside recommended dosing interval, second dose was administered 15 days following the first dose which was given on 5/20/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1434032&WAYBACKHISTORY=ON


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