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This is VAERS ID 1474663

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474663
VAERS Form:2
Age:24.0
Sex:Male
Location:California
Vaccinated:2021-07-15
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 EW0191 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Urticaria

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hives noted on face, arms, legs. No hives noted on abdomen. No respiratory or mouth involvement

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474663&WAYBACKHISTORY=ON


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