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This is VAERS ID 1760975

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1760975
VAERS Form:2
Age:34.0
Sex:Male
Location:North Carolina
Vaccinated:2021-10-04
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30135BA / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Wrong Dose of Vaccine - Too High-

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1760975&WAYBACKHISTORY=ON


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