This is VAERS ID 909614

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / 1	LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Heart rate increased, Hypertension, Myalgia, Pyrexia

Life Threatening? Yes
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bystolic 5mg Atorvastatin
Current Illness:
Preexisting Conditions:
Allergies: Latex
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, muscle aches, hypertension, rapid heart heart

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