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This is VAERS ID 1685543

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685543
VAERS Form:2
Age:24.0
Sex:Male
Location:Oklahoma
Vaccinated:2021-09-09
Onset:2021-09-09
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Syncope, Vomiting

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fainted and vomited.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1685543&WAYBACKHISTORY=ON


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