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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902755 |
VAERS Form: | 2 |
Age: | 32.0 |
Sex: | Male |
Location: | Virginia |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EJ6185 / 1 | LA / SYR |
Administered by: Private Purchased by: ??
Symptoms: Headache
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Headache, onset ~45 minutes after injection
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