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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902990 |
VAERS Form: | 2 |
Age: | 30.0 |
Sex: | Female |
Location: | Arkansas |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9899 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test
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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':
Write-up: fever, cough,chills,body aches, weakness, loss of smell
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