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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902745 |
VAERS Form: | 2 |
Age: | 43.0 |
Sex: | Female |
Location: | Puerto Rico |
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 | LA / IM |
Administered by: Work Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK
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