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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902943 |
VAERS Form: | 2 |
Age: | 58.0 |
Sex: | Female |
Location: | Oklahoma |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / UNK | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Fatigue, Headache, Hyperhidrosis, Myalgia, Nausea
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: vit b, avapro , HCTZ, Vit E, Vit A, fish oil
Current Illness: no
Preexisting Conditions: chronic fibromylagia, sero negative RA, HTN
Allergies: PCN, Ceclor, sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Headache, fatigue, muscle aches, nausea, sweating
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