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This is VAERS ID 905644

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905644
VAERS Form:2
Age:17.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 4 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methylphenidate ER, monodox, celexa, ventolin
Current Illness: none
Preexisting Conditions: ADHD, anxiety
Allergies: NKA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: "felt like throat scratching"


Changed on 5/7/2021

VAERS ID: 905644 Before After
VAERS Form:2
Age:17.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 4 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methylphenidate ER, monodox, celexa, ventolin
Current Illness: none
Preexisting Conditions: ADHD, anxiety
Allergies: NKA NKA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: "felt like throat scratching"


Changed on 5/14/2021

VAERS ID: 905644 Before After
VAERS Form:2
Age:17.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 4 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methylphenidate ER, monodox, celexa, ventolin
Current Illness: none
Preexisting Conditions: ADHD, anxiety
Allergies: NKA NKA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: "felt like throat scratching"

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=905644&WAYBACKHISTORY=ON

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