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This is VAERS ID 1761880

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1761880
VAERS Form:2
Age:35.0
Sex:Female
Location:Texas
Vaccinated:2021-09-11
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 301308A / 3 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Painful respiration, Pulmonary embolism, Vomiting

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: AML post MUD SCT 6/2019
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: EC visit and subsequent admission for pain with breathing, cough, vomiting. Diagnosed with sub-segmental pulmonary emboli

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