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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1474585



Case Details

VAERS ID: 1474585 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NO
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient got 1st dose on 05/20/21 and 2rd dose of vaccine on 07/13/21 53 days after 1st dose. No adverse effect was noticed


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