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This is VAERS ID 1776778

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776778
VAERS Form:2
Age:31.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-10-04
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 3 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Malaise, Expired product administered

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:
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None. will have antibodies tested 14 days after administration
CDC 'Split Type':

Write-up: Was given Pfizer BioNtech vaccine 81 minutes after expiration time. When called states she did not feel well for 1-2 days after vaccine administration.

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