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This is VAERS ID 1758827

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758827
VAERS Form:2
Age:81.0
Sex:Male
Location:Kentucky
Vaccinated:2021-03-16
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Fatigue, Wheezing, Decreased appetite

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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: COPD , CAD, CKD, HTN, PUD, BPH
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: increasing cough , fatigue, increased wheezing, loss of appetite for 5 days

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