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This is VAERS ID 1745135

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1745135
VAERS Form:2
Age:68.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-09-28
Onset:2021-09-29
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / 3 - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Gait inability, Tremor

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: Adempas.
Current Illness:
Preexisting Conditions: Type 2 diabetes, Pulmonary hypertension.
Allergies: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unable to walk, trembling in the hands, fatigue.

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