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

This is VAERS ID 902490

Government Disclaimer on use of this data

Case Details

VAERS ID:	902490 (history)
Form:	Version 2.0
Age:	37.0
Sex:	Female
Location:	New Mexico

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	EH9899 / 1	LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benzoyl peroxide 10% gel, Biofreeze topical gel, Cyclobenzaprine 10mg tab, moisturizing cream, naproxen 250 mg tab, ondansetrn 4mg ODT tab, Refresh Tears
Current Illness: None
Preexisting Conditions: acne, astigmatism, myopia
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, body ache

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