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This is VAERS ID 1737524

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1737524
VAERS Form:2
Age:88.0
Sex:Male
Location:Minnesota
Vaccinated:2021-03-03
Onset:2021-09-26
Submitted:0000-00-00
Entered:2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 2 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal discomfort, Asthenia

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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hospitalization weakness and GI distress.

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