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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902829 |
VAERS Form: | 2 |
Age: | 23.0 |
Sex: | Female |
Location: | West Virginia |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9899 / UNK | LA / IM |
Administered by: Senior Living Purchased by: ??
Symptoms: Injection site erythema
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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Redness to injection site
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