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This is VAERS ID 1470374

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470374
VAERS Form:2
Age:88.0
Sex:Male
Location:Minnesota
Vaccinated:2021-02-04
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL92261 / 2 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cough, SARS-CoV-2 test

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: ProAir, Symbicort, Lasix, Toprol XL, Aldactone, Flomax, Warfarin.
Current Illness:
Preexisting Conditions: COPD; Chronic Kidney Disease; Atrial Fib; CHF; Obesity.
Allergies: Contrast Dye.
Diagnostic Lab Data: COVID-19 PCR test done at Lab.
CDC 'Split Type':

Write-up: No increase in cough noted by staff. Daughter felt like he was coughing more so brought him to ED.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470374&WAYBACKHISTORY=ON


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