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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902826 |
VAERS Form: | 2 |
Age: | 18.0 |
Sex: | Female |
Location: | Texas |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / SYR |
Administered by: Private Purchased by: ??
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pain in extremity, Pyrexia, Oropharyngeal pain
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: Severe muscle aches Diarrhea Headaches Feverish Nauseous Left arm super sore Sore throat
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / SYR |
Administered by: Private Purchased by: ??
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pain in extremity, Pyrexia, Oropharyngeal pain
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': (blank) VSafe
Write-up: Severe muscle aches Diarrhea Headaches Feverish Nauseous Left arm super sore Sore throat
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / SYR |
Administered by: Private Purchased by: ??
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pain in extremity, Pyrexia, Oropharyngeal pain
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': VSafe vsafe
Write-up: Severe muscle aches Diarrhea Headaches Feverish Nauseous Left arm super sore Sore throat
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