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This is VAERS ID 1775267

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775267
VAERS Form:2
Age:22.0
Sex:Female
Location:New Jersey
Vaccinated:2021-07-26
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Myalgia, Nasal congestion, Pyrexia, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

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: none known
Current Illness: none known
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: PCR + for Covid on 10/7/2021
CDC 'Split Type':

Write-up: Client was vaccinated with Pfizer vaccines in July and August 2021 (client not sure of dates). Symptoms started 10/4: nasal congestion, cough, fatigue, fever 102 x 2 days, myalgia, sore throat. Went to hospital ER on 10/8 and was given IV electrolytes and Tylenol and sent home. Reported as breakthrough Covid illness in previously vaccinated person

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