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This is VAERS ID 1771883

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1771883
VAERS Form:2
Age:12.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-08-05
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: PCN
Diagnostic Lab Data: positive covid test
CDC 'Split Type':

Write-up: got covid 198 infection after 2 vaccines

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1771883&WAYBACKHISTORY=ON


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