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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902900 |
VAERS Form: | 2 |
Age: | 34.0 |
Sex: | Male |
Location: | Oklahoma |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia
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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea
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