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This is VAERS ID 902706

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/18/2020

VAERS ID: 902706
VAERS Form:2
Age:30.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-15
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 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Nausea, Pain

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: Zoloft, post-natal vitamin, dha, vitamin d
Current Illness: None
Preexisting Conditions: None
Allergies: Dairy, gluten, morphine allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Bp of 85/44, nauseous, body aches, chills

Changed on 12/24/2020

(Changed: CDC Split Type)

VAERS ID: 902706 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-15
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 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Nausea, Pain

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: Zoloft, post-natal vitamin, dha, vitamin d
Current Illness: None
Preexisting Conditions: None
Allergies: Dairy, gluten, morphine allergies
Diagnostic Lab Data:
CDC 'Split Type': (blank) VSafe

Write-up: Bp of 85/44, nauseous, body aches, chills

Changed on 1/7/2021

(Changed: CDC Split Type)

VAERS ID: 902706 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-15
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 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Nausea, Pain

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: Zoloft, post-natal vitamin, dha, vitamin d
Current Illness: None
Preexisting Conditions: None
Allergies: Dairy, gluten, morphine allergies
Diagnostic Lab Data:
CDC 'Split Type': VSafe (blank)

Write-up: Bp of 85/44, nauseous, body aches, chills

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