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This is VAERS ID 1843077

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/5/2021

VAERS ID: 1843077
VAERS Form:2
Age:9.0
Sex:Male
Location:Arkansas
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 FK5127 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Chest pain, Chills, Heart rate increased

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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Chills, pain in chest, pain in stomach, elevated heart rate Still some pain this morning, but seems to be subsiding.

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