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This is VAERS ID 1842555

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/5/2021

VAERS ID: 1842555
VAERS Form:2
Age:10.0
Sex:Female
Location:Texas
Vaccinated:2021-11-03
Onset:2021-11-03
Submitted:0000-00-00
Entered:2021-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FG3527 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Patient too young for vaccine administered.

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