This is VAERS ID 902930

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Pain in extremity, Tenderness

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: none
Current Illness: none
Preexisting Conditions: Iron deficiency
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: left arm soreness/pain tender to touch/palpation

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