This is VAERS ID 902952

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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	EK5730 / 1	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Headache

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:
Current Illness: None
Preexisting Conditions: Diabetes mellitus, type 2 Hypertension
Allergies: No known allergies
Diagnostic Lab Data: none
CDC 'Split Type': IHS

Write-up: Dizziness, headache, chills

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Changed on 1/29/2021

(Changed: CDC Split Type)

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EK5730 / 1	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Headache

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:
Current Illness: None
Preexisting Conditions: Diabetes mellitus, type 2 Hypertension
Allergies: No known allergies
Diagnostic Lab Data: none
CDC 'Split Type': IHS (blank)

Write-up: Dizziness, headache, chills

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