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This is VAERS ID 1746594

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1746594
VAERS Form:2
Age:45.0
Sex:Male
Location:Alaska
Vaccinated:2021-09-26
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 301308A / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Genital rash, Headache, Hyperhidrosis, Injection site irritation, Injection site pain, Nausea, Pyrexia, Rash, 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:
Other Medications: None
Current Illness: none
Preexisting Conditions: diverticulitis
Allergies: amoxicillin
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: headache, nausea, fever of 101 with chills, sweats and hives/rash on arms and torso and private area, irritation around the injection site and soreness.

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