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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1443264



Case Details

VAERS ID: 1443264 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-20
Onset:2021-06-25
   Days after vaccination:66
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pulmonary pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take a multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I had a Covid-19 test and it was positive. 06/28/2021
CDC Split Type: vsafe

Write-up: I test positive for COVID on 06/28/2021. I have had a slight fever, congestion, sore throat, coughing, pain in the lungs.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1443264


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