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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902942 |
VAERS Form: | 2 |
Age: | 46.0 |
Sex: | Female |
Location: | Unknown |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-17 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | LA / IM |
Administered by: Unknown Purchased by: ??
Symptoms: Headache, Injection site pain, Pain in extremity
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Headache, Left arm and shoulder pain
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