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

This is VAERS ID 902748

Government Disclaimer on use of this data

Case Details

VAERS ID:	902748 (history)
Form:	Version 2.0
Age:	34.0
Sex:	Female
Location:	Pennsylvania

Vaccinated:	2020-12-15
Onset:	2020-12-15
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	PA156051 / 1	RA / -

Administered by: Private Purchased by: ?
Symptoms: Chills, Pain, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine , Wellbutrin , Bustar, trazodone , Lithium Carbonate ER , vistaril , Propranolol, MAXALT
Current Illness: COVID one week before
Preexisting Conditions: Bipolar Disorder
Allergies: NA
Diagnostic Lab Data: N/a
CDC Split Type: vsafe

Write-up: Chills, Body Ache, Fever

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902748