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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902813 |
VAERS Form: | 2 |
Age: | 49.0 |
Sex: | Female |
Location: | Illinois |
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 | - / 1 | RA / IM |
Administered by: Private Purchased by: ??
Symptoms: Asthenia, Dizziness, Fatigue
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: Womans one a day multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Dizziness that lasted for about an hour. Weakness, extreme fatigue lasted the rest of the day.
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