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This is VAERS ID 1685234

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685234
VAERS Form:2
Age:29.0
Sex:Female
Location:Nevada
Vaccinated:2021-09-08
Onset:2021-09-08
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Seizure, Syncope, Contusion, Blood test

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: None
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Peniccilin
Diagnostic Lab Data: Blood work, Iv, Medical exam
CDC 'Split Type':

Write-up: Head contusion, Fainting or Siezure

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