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VAERS ID: | 902764 |
VAERS Form: | 2 |
Age: | 71.0 |
Sex: | Female |
Location: | North Carolina |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / UNK | - / - |
Administered by: Military Purchased by: ??
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Levothyroxine 88MCG/once daily, Losartan 100MG/once daily, PravastatinSodium 20MG/once daily, Protonix40MG/twice daily, aspirin 81MG/once daily, Calcium1000, Magnesium400,
Current Illness: None
Preexisting Conditions: Controlled by medication: high blood pressure, thyroid, heartburn, leg cramps
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: .5 inch bruise at injection site, slight swelling, sore muscle, ibuprofen, ice bag,
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