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This is VAERS ID 1709670

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1709670
VAERS Form:2
Age:45.0
Sex:Male
Location:California
Vaccinated:2021-08-20
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Cough, Nasal congestion, Rhinorrhoea, Throat irritation, Respiratory tract congestion

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: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: Runny nose/stuffy nose, congestion, intermitten cough, itchy throat.

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