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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 915690 |
VAERS Form: | 2 |
Age: | 28.0 |
Sex: | Female |
Location: | Texas |
Vaccinated: | 2020-12-21 |
Onset: | 2020-12-21 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-31 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EJ1685 / 1 | LA / IM |
Administered by: Work Purchased by: ??
Symptoms: Discomfort, Fatigue, Headache, Nausea, Palpitations, Consciousness fluctuating, Exposure during pregnancy
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Maxalt 10mg Elavil 10mg
Current Illness: Anxiety
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Due Date unknown/6-7 wks pregnant -nausea -Body felt heavy -headache -in & out consciousness -Fatigue, severe -Heart Racing
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