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This is VAERS ID 1470783

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470783
VAERS Form:2
Age:47.0
Sex:Female
Location:New Jersey
Vaccinated:2021-03-17
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Electrocardiogram, Headache, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin, zoloft, digestive enzymes, omeprazole
Current Illness: None
Preexisting Conditions: Borderline high cholesterol, heartburn
Allergies: Penicillin, soy
Diagnostic Lab Data: Chest xray, blood work, EKG, (all done 7/3/21 at Emergency room)
CDC 'Split Type':

Write-up: 7/1/2021: Headache, chest pain (felt like heartburn).


Record is removed as of 7/30/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470783&WAYBACKHISTORY=ON


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