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This is VAERS ID 1474031

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474031
VAERS Form:2
Age:44.0
Sex:Female
Location:Michigan
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Dysphagia, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ventolin, apixaban, klonipin, lamictal,zoloft
Current Illness: none
Preexisting Conditions: bipolar, migranes, asthma low back pain.
Allergies: Compazine, reglan, latex, iodinated products, shrimp
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: cough difficulty swallowing and chest rash 2 does of Epi given

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474031&WAYBACKHISTORY=ON


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