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This is VAERS ID 938576

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 938576
VAERS Form:2
Age:22.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-06
Onset:2021-01-09
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Computerised tomogram, Pulmonary embolism, Deep vein thrombosis, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: All seafood
Diagnostic Lab Data: CT, MRI, blood teatst
CDC 'Split Type':

Write-up: Back pain, bilateral PE and DVT


Changed on 5/7/2021

VAERS ID: 938576 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-06
Onset:2021-01-09
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Computerised tomogram, Pulmonary embolism, Deep vein thrombosis, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: All seafood seafood
Diagnostic Lab Data: CT, MRI, blood teatst
CDC 'Split Type':

Write-up: Back pain, bilateral PE and DVT


Changed on 5/14/2021

VAERS ID: 938576 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:New Jersey
Vaccinated:2021-01-06
Onset:2021-01-09
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Computerised tomogram, Pulmonary embolism, Deep vein thrombosis, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: All seafood seafood
Diagnostic Lab Data: CT, MRI, blood teatst
CDC 'Split Type':

Write-up: Back pain, bilateral PE and DVT

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=938576&WAYBACKHISTORY=ON

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