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This is VAERS ID 1753240

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1753240
VAERS Form:2
Age:80.0
Sex:Female
Location:Minnesota
Vaccinated:2021-02-05
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9809 / 1 - / -

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Coronavirus 2 PCR Detect, V Asymptomatic POSITIVE
CDC 'Split Type':

Write-up: COVID+ found incidentally when present for an appt

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1753240&WAYBACKHISTORY=ON


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