From the 3/29/2024 release of VAERS data:

This is VAERS ID 902440

Government Disclaimer on use of this data

Case Details

VAERS ID:	902440 (history)
Form:	Version 2.0
Age:	35.0
Sex:	Female
Location:	Arizona

Vaccinated:	2020-12-15
Onset:	2020-12-15
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-15

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH 9899 / 1	LA / SYR

Administered by: Private Purchased by: ?
Symptoms: Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: C/O Headache

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902440