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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902799 |
VAERS Form: | 2 |
Age: | 66.0 |
Sex: | Male |
Location: | California |
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 | EH9899 / 1 | AR / IM |
Administered by: Private Purchased by: ??
Symptoms: Asthenia, Diarrhoea, Malaise
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Nausea in the morning prior to coming to work and receiving vaccination.
Preexisting Conditions:
Allergies: No known
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient was feeling nauseated in the morning prior to coming to work and prior to receiving vaccine. He had a banana thinking he would feel better. He then received the vaccine and felt progressively worse experiencing diarrhea, weakness, and malaise.
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