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This is VAERS ID 1750112

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1750112
VAERS Form:2
Age:32.0
Sex:Female
Location:Minnesota
Vaccinated:2021-02-18
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK UN / UN

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Inderal, Cymbalta, Imitrex, Ativan
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Adhesives, Keflex
Diagnostic Lab Data: Positive COVID-19 RT-PCR Test
CDC 'Split Type':

Write-up: Positive COVID-19 Test while fully vaccinated.

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