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This is VAERS ID 1745537

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1745537
VAERS Form:2
Age:70.0
Sex:Female
Location:Michigan
Vaccinated:2021-09-29
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 EW0183 / 3 LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7319MA / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Product preparation issue

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: unknown
Current Illness: None
Preexisting Conditions: None
Allergies: mercury products, cilantro
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pfizer vaccine vial was diluted with 0.8cc NS rather than 1.8cc NS. 1 dose was given to this client.

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