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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902831 |
VAERS Form: | 2 |
Age: | 42.0 |
Sex: | Male |
Location: | Indiana |
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 | EH9899 / 1 | RA / IM |
Administered by: Work Purchased by: ??
Symptoms: Arthralgia, Injection site pain, Myalgia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 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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