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This is VAERS ID 1757006

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1757006
VAERS Form:2
Age:38.0
Sex:Female
Location:Foreign
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Injection site erythema, Injection site pain, Injection site paraesthesia, Injection site reaction

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: No only anti allergy
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Decline, tingling, pain at injection site for more than 48 hours, redness and oversized marking on the vaccine site.

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