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This is VAERS ID 1490327

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490327
VAERS Form:2
Age:82.0
Sex:Male
Location:Florida
Vaccinated:2021-04-06
Onset:2021-07-08
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Suspected COVID-19

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: admitted to the hospital for symptoms of COVID 19 post vaccination.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1490327&WAYBACKHISTORY=ON

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