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This is VAERS ID 1475002

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475002
VAERS Form:2
Age:53.0
Sex:Female
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 EW0177 / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Interchange of vaccine products

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:
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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Link To This Search Result:

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

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