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This is VAERS ID 1744292

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1744292
VAERS Form:2
Age:70.0
Sex:Male
Location:Indiana
Vaccinated:2021-09-27
Onset:2021-09-27
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Pain

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? No
Previous Vaccinations:
Other Medications: Vitamin C Zinc Multi Vitamin Atorvastatin Allopurinol Ramipril Aspirin 81
Current Illness: I had a minor score throat two days prior but it seemed to go away.
Preexisting Conditions: Gout, high cholesterol and high blood pressure.
Allergies: Dilaudid Cipro Levaquin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sore body and shortness of breath

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