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This is VAERS ID 1478010

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1478010
VAERS Form:2
Age:18.0
Sex:Male
Location:New York
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Cold sweat, Nausea, Pallor, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NO
Current Illness:
Preexisting Conditions: HYPOPHOSPHATASIA
Allergies: PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: NAUSEA, COLD SWEATS, TREMBLING OF HANDS, PALLOR

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1478010&WAYBACKHISTORY=ON


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