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This is VAERS ID 1440648

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440648
VAERS Form:2
Age:13.0
Sex:Female
Location:Iowa
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: No adverse event, 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: Vaccine had was prepared the previous day at 10:00 am and was administered the next day at 2:30 pm. This was past the 6 hours of viability of a diluted vaccine. No adverse reaction noted. Provider recommended repeating the dose in 3 weeks and 3rd dose be administered 3 weeks later.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440648&WAYBACKHISTORY=ON


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