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

This is VAERS ID 902755

Government Disclaimer on use of this data

Case Details

VAERS ID:	902755 (history)
Form:	Version 2.0
Age:	32.0
Sex:	Male
Location:	Virginia

Vaccinated:	2020-12-16
Onset:	2020-12-16
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	EJ6185 / 1	LA / SYR

Administered by: Private Purchased by: ?
Symptoms: Headache
SMQs:

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, onset ~45 minutes after injection

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