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This is VAERS ID 1754241

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1754241
VAERS Form:2
Age:65.0
Sex:Male
Location:Minnesota
Vaccinated:2021-02-09
Onset:2021-09-27
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cough, Headache, Taste disorder

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: MULTIVITAMIN; CLARITIN; TAMSULOSIN; OMEPRAZOLE; LOSARTAN; METOPROLOL; MECLIZINE
Current Illness: None
Preexisting Conditions: GERD; Diastolic Dysfunction; Hypertension; Obese
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest tightness, nonproductive cough, headache, taste is different, but not completely gone. Starting on 9/27/21.

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