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This is VAERS ID 1840529

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/5/2021

VAERS ID: 1840529
VAERS Form:2
Age:7.0
Sex:Female
Location:Colorado
Vaccinated:2021-11-03
Onset:2021-11-03
Submitted:0000-00-00
Entered:2021-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2593 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Extra dose administered

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NO Prescription or OTC medications aware of
Current Illness: NO known illnesses
Preexisting Conditions: NO known chronic or long standing health conditions
Allergies: NO known allergies
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient was given Pfizer Adult. 0.2 ml of the adult formulation.

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