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This is VAERS ID 1484121

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484121
VAERS Form:2
Age:36.0
Sex:Female
Location:California
Vaccinated:2021-06-25
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Aphonia, Cough, Dizziness, Dysphonia, Pyrexia, Secretion discharge

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

Write-up: Fever 7/3/21 Cough and Mucous - green mucous 7/3/21 to 7/13/21 Sore Throat 7/3/21 - 7:00am Lost voice 7/3/21 - 8:00pm. 24 hours Hoarse voice - 7/5/21 to 7/13/21. 9 days Dizziness 7/5/21 to Present. Treatment over the counter dizziness medication.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1484121&WAYBACKHISTORY=ON


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