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This is VAERS ID 1454427

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454427
VAERS Form:2
Age:11.0
Sex:Male
Location:Alabama
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: No adverse event, Product administered to patient of inappropriate age

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: Unknown
Current Illness: no
Preexisting Conditions: no
Allergies: no known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient is < 12 years old and recieved the Pfizer COVID vaccine. No adverse events occured while he was waiting his 15 minutes. Discrepancy was noticed after patient left when the orders were being entered into the system

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454427&WAYBACKHISTORY=ON


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