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This is VAERS ID 1745373

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1745373
VAERS Form:2
Age:37.0
Sex:Male
Location:New York
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 - / UNK - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Fatigue, Productive cough, Pruritus, Urticaria

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: Urticaria, age 37, 03/27/21, Pfizer
Other Medications: Ibuprofen
Current Illness: None
Preexisting Conditions: Obesity (overweight)
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: urticaria (hives/itchiness starting in the scalp and moving down to the neck/arm over course of 1 or 2 hours). General fatigue, some phleghm

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