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This is VAERS ID 1777346

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1777346
VAERS Form:2
Age:43.0
Sex:Female
Location:Unknown
Vaccinated:2021-10-05
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Cough, Headache, Pyrexia

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
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None as of yet
CDC 'Split Type':

Write-up: Constant cough and headache. Fever and chills.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1777346&WAYBACKHISTORY=ON


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