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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902827 |
VAERS Form: | 2 |
Age: | 31.0 |
Sex: | Male |
Location: | New York |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Diarrhoea, Rash
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:
Preexisting Conditions: Asthma
Allergies: Ceclore, and bee venom
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: I developed a new rash on my torso and have had three bouts of diarrhea.
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