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This is VAERS ID 1474685

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474685
VAERS Form:2
Age:11.0
Sex:Male
Location:Wyoming
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 EW0150 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pfizer vaccine was given to patient when vaccine was not indicated for the patient. Patient''s mother knowingly gave the nurse the wrong birthdate for the patient.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474685&WAYBACKHISTORY=ON


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