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This is VAERS ID 1474381

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474381
VAERS Form:2
Age:11.0
Sex:Female
Location:Ohio
Vaccinated:2021-07-13
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 EW0181 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: No adverse event, Product administered to patient of inappropriate age

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: No medications prescriptive or otherwise taken.
Current Illness: None reported.
Preexisting Conditions: None reported
Allergies: no known allergies
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: No symptoms reported, but pt is 11yr and 9 months old.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474381&WAYBACKHISTORY=ON


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