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This is VAERS ID 1750175

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1750175
VAERS Form:2
Age:68.0
Sex:Male
Location:Florida
Vaccinated:2021-09-29
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 30145 BA / 3 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Fatigue

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: Pfizer COVID vaccine
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: significant fatigue

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1750175&WAYBACKHISTORY=ON


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