From the 4/26/2024 release of VAERS data:

This is VAERS ID 902904

Government Disclaimer on use of this data

Case Details

VAERS ID:	902904 (history)
Form:	Version 2.0
Age:	23.0
Sex:	Female
Location:	Missouri

Vaccinated:	2020-12-16
Onset:	2020-12-17
Days after vaccination:	1
Submitted:	0000-00-00
Entered:	2020-12-17

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Private Purchased by: ?
Symptoms: Chills, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever 100.3, chills, headache

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902904