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This is VAERS ID 1474690

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474690
VAERS Form:2
Age:37.0
Sex:Female
Location:North Carolina
Vaccinated:2021-07-13
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 FA6680 / 1 - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Fatigue, Injection site pain

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: HCTZ, Amlodipine Besylate, Potassium Chloride, Rosuvastatin and Vitamin D2
Current Illness:
Preexisting Conditions: Hypertension and Hyperlipidemia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: July 13th and 14th pain at injection site and fatigue. July 15th at 6:00am to current chest pain

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474690&WAYBACKHISTORY=ON


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