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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902824 |
VAERS Form: | 2 |
Age: | 28.0 |
Sex: | Male |
Location: | Colorado |
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 | LA / IM |
Administered by: Work Purchased by: ??
Symptoms: Headache, Pain, Pyrexia
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: Hypertension
Allergies: Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Headache, body aches, low grade fever (99.3 F)
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