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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1475002



Case Details

VAERS ID: 1475002 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-15
Onset:2021-07-15
   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 EW0177 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Interchange of vaccine products
SMQs:, Medication errors (broad)

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:
Current Illness:
Preexisting Conditions: COPD
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client received Moderna (4/2021) for her first series and now received Pfizer for her second series (7/15/2021)


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475002


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