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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902673 |
VAERS Form: | 2 |
Age: | 38.0 |
Sex: | Female |
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 / N/A | RA / IM |
Administered by: Private Purchased by: ??
Symptoms: Nausea
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient had sudden onset of nausea . Patient was laid flat on the floor and given and alcohol. Symptoms resolved and patient was released home.
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