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This is VAERS ID 1464610

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1464610
VAERS Form:2
Age:43.0
Sex:Male
Location:Texas
Vaccinated:2021-06-29
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Fatigue, Productive cough, Pyrexia, Respiratory tract infection, SARS-CoV-2 test negative

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: None
Current Illness: None
Preexisting Conditions: Hiv
Allergies: None
Diagnostic Lab Data: Covid -19 test 07/08/2021 - Negative
CDC 'Split Type':

Write-up: Fever, coughing up mucus, extreme fatigue, chest pain trouble breathing/respiratory infection

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1464610&WAYBACKHISTORY=ON


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