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This is VAERS ID 1474629

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474629
VAERS Form:2
Age:60.0
Sex:Male
Location:D.C.
Vaccinated:1961-01-08
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: No
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 2nd dose vaccine given after 42 days

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474629&WAYBACKHISTORY=ON


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