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

This is VAERS ID 902576

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Case Details

VAERS ID: 902576 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Nebraska  
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 - / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Asthenia, Headache, Injection site pain, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: Kirkland brand Aller Flo (generic Flonase)
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal allergies, cats, dogs, dust, ragweed
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I received the vaccine @ 3:40 pm 12-15-20 and felt fine until around 9:00 pm 12-15-20 when I noted headache, nausea, no energy, overall not feeling well, and injection site pain. I did not have a fever. Symptoms still present @ 6:00 am 12-16-20.


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