From the 4/26/2024 release of VAERS data:

This is VAERS ID 902831

Government Disclaimer on use of this data

Case Details

VAERS ID:	902831 (history)
Form:	Version 2.0
Age:	42.0
Sex:	Male
Location:	Indiana

Vaccinated:	2020-12-15
Onset:	2020-12-15
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / 1	RA / IM

Administered by: Work Purchased by: ?
Symptoms: Arthralgia, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: myalgia, joint pain, local site pain

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=902831