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From the 6/11/2021 release of VAERS data:

This is VAERS ID 902931



Case Details

VAERS ID: 902931 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu (when the component contained albumin
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Hydromorphone, Nuts, Peanuts, Poppy seeds, sesame seeds
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving the injection the patient stated "my throat feels funny, similar to how it has felt in the past when I have had a reaction." Pt. transferred from the vaccine clinic location to ED.


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