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This is VAERS ID 1240204

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240204
VAERS Form:2
Age:41.0
Sex:Female
Location:California
Vaccinated:2021-04-19
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site warmth, Pain, N-terminal prohormone brain natriuretic peptide increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Septra
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills, headache, body aches, nausea, soreness at injection site, heat at injection site, redness at injection site


Changed on 5/7/2021

VAERS ID: 1240204 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:California
Vaccinated:2021-04-19
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site warmth, Pain, N-terminal prohormone brain natriuretic peptide increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Septra Septra
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills, headache, body aches, nausea, soreness at injection site, heat at injection site, redness at injection site


Changed on 5/14/2021

VAERS ID: 1240204 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:California
Vaccinated:2021-04-19
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site warmth, Pain, N-terminal prohormone brain natriuretic peptide increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Septra Septra
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills, headache, body aches, nausea, soreness at injection site, heat at injection site, redness at injection site

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240204&WAYBACKHISTORY=ON


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