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This is VAERS ID 1488214

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1488214
VAERS Form:2
Age:19.0
Sex:Female
Location:Michigan
Vaccinated:2021-07-17
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain, Periorbital oedema, Rash, Ear pruritus

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA non-severe allergic reactions- facial rash (7/20/21), right auricular pruritus (7/20/21), right periorbital edema (7/19/21), abdominal pain (7/18/21)

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1488214&WAYBACKHISTORY=ON


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