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This is VAERS ID 1437394

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437394
VAERS Form:2
Age:81.0
Sex:Female
Location:Minnesota
Vaccinated:2021-02-26
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Haematuria, Renal cyst

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

Write-up: right side back pain, hematuria, cyst of kidney

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437394&WAYBACKHISTORY=ON


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