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This is VAERS ID 902906

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Color Schemes (Before/After):

First Appeared on 4/1/2021

VAERS ID: 902906
VAERS Form:2
Age:31.0
Sex:Male
Location:Connecticut
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain, Myalgia, Nausea, Pyrexia, Respiratory tract congestion

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: None
Current Illness: None
Preexisting Conditions: History of transposition of great vessels at birth
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills approx 6 hours after receiving shot Injection site tenderness (no redness or swelling noted) Muscle aches and joint pain at 8 hours At 12 hours, fatigue, nausea (20 minutes), headache, congestion, low grade temp 99.5, malaise Hour 17 fever to 100.5 took 800 mg Advil and 1000 mg Tylenol. Hour 24 all symptoms completely resolved only very mild injection site tenderness. Felt at baseline. Afebrile.

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