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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 903115 |
VAERS Form: | 2 |
Age: | 35.0 |
Sex: | Female |
Location: | Virginia |
Vaccinated: | 2020-12-16 |
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: Unknown Purchased by: ??
Symptoms: Chills, Pain, Pyrexia
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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.
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