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This is VAERS ID 950649

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 950649
VAERS Form:2
Age:15.0
Sex:Male
Location:California
Vaccinated:2021-01-01
Onset:2021-01-13
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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:
CDC 'Split Type':

Write-up: No adverse event. Reporting patient received vaccine at 15 yes 26 days old... under 16 year old guideline


Changed on 5/7/2021

VAERS ID: 950649 Before After
VAERS Form:2
Age:15.0
Sex:Male
Location:California
Vaccinated:2021-01-01
Onset:2021-01-13
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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:
CDC 'Split Type':

Write-up: No adverse event. Reporting patient received vaccine at 15 yes 26 days old... under 16 year old guideline


Changed on 5/21/2021

VAERS ID: 950649 Before After
VAERS Form:2
Age:15.0
Sex:Male
Location:California
Vaccinated:2021-01-01
Onset:2021-01-13
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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:
CDC 'Split Type':

Write-up: No adverse event. Reporting patient received vaccine at 15 yes 26 days old... under 16 year old guideline

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=950649&WAYBACKHISTORY=ON


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