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This is VAERS ID 1463490

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1463490
VAERS Form:2
Age:15.0
Sex:Male
Location:Unknown
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal pain upper, Ageusia, Nausea, Pain, Pyrexia, Rash

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: melatonin, depakote, sedalia
Current Illness: epilepsy, TBCK gene carrier
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: rash, stomach pain, fever, body aches, nausea, loss of taste.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1463490&WAYBACKHISTORY=ON


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