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This is VAERS ID 902759

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/18/2020

VAERS ID: 902759
VAERS Form:2
Age:44.0
Sex:Female
Location:Indiana
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Pain, Pyrexia, Injection site swelling, Injected limb mobility decreased

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: Protein Shake whey, Hair, skin and nail Vitamins
Current Illness: Fever and chills, but was not diagnosed with a illness
Preexisting Conditions: Chiari malformation , Inflammatory bowel disease.
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type': v-safe

Write-up: Fever , chills, Body Ache all over body, Joint Pain (worse in hips ) Injection site swollen The PT cannot life her arm


Changed on 1/7/2021

(Changed: CDC Split Type)

VAERS ID: 902759 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Indiana
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Pain, Pyrexia, Injection site swelling, Injected limb mobility decreased

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: Protein Shake whey, Hair, skin and nail Vitamins
Current Illness: Fever and chills, but was not diagnosed with a illness
Preexisting Conditions: Chiari malformation , Inflammatory bowel disease.
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type': v-safe vsafe

Write-up: Fever , chills, Body Ache all over body, Joint Pain (worse in hips ) Injection site swollen The PT cannot life her arm

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