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This is VAERS ID 1696243

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696243
VAERS Form:2
Age:76.0
Sex:Female
Location:Ohio
Vaccinated:2021-02-12
Onset:2021-09-13
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Vaccine breakthrough infection, COVID-19

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient developed breakthrough COVID-19 post-immunization requiring hospitalization.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1696243&WAYBACKHISTORY=ON


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