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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902576 |
VAERS Form: | 2 |
Age: | 42.0 |
Sex: | Male |
Location: | Nebraska |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | 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
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: 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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