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This is VAERS ID 1443406

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1443406
VAERS Form:2
Age:25.0
Sex:Male
Location:Wisconsin
Vaccinated:2021-03-05
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Headache, Myalgia, Pyrexia, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

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: Nasopharyngeal Swab for SARS CORONAVIRUS-2 RNA on 6/30/2021
CDC 'Split Type':

Write-up: Sx onset 6/29/2021 (fever, chills, sore throat, muscle aches, and headache). Tested positive for COVID-19 via PCR on 6/30/2021.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1443406&WAYBACKHISTORY=ON


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