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This is VAERS ID 1487169

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1487169
VAERS Form:2
Age:32.0
Sex:Female
Location:Washington
Vaccinated:2021-01-17
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cardiac failure

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknow
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Employee reports hospitalization and new diagnosis of heart failure

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1487169&WAYBACKHISTORY=ON


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