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This is VAERS ID 1775503

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775503
VAERS Form:2
Age:62.0
Sex:Male
Location:Indiana
Vaccinated:2021-10-08
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ???? / 3 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Oropharyngeal pain

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: Blood pressure meds.
Current Illness:
Preexisting Conditions: Spinal bifida
Allergies:
Diagnostic Lab Data: None, cleared up in one day
CDC 'Split Type':

Write-up: Sore throat

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