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This is VAERS ID 1490704

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490704
VAERS Form:2
Age:57.0
Sex:Male
Location:New York
Vaccinated:2021-06-24
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Nasal congestion, Pain, Rhinorrhoea, Respiratory tract congestion, Oropharyngeal pain

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: phenobarbitol, carbamezapine,amlodipine,irbesertan, centrum multi
Current Illness: none
Preexisting Conditions: avm
Allergies: none
Diagnostic Lab Data: rapid test - covid- 7/21/21
CDC 'Split Type':

Write-up: sore throat, nasal congestion and runny, chest congestion, tired and body aches

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