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This is VAERS ID 1241105

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1241105
VAERS Form:2
Age:32.0
Sex:Female
Location:Maryland
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Myalgia

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: Headache, neck/back stiffness and pain, upper back muscle spasm; 32 years; 03/30/2021; Pfizer BioNTech
Other Medications: Synthroid, cyclobenzaprine, escitalopram, citirizine
Current Illness:
Preexisting Conditions: Hypothyroidism, degenerative disc disease, spinal arthritis, spinal stenosis, environmental allergies (pollen, dust, dogs, cats), anxiety, depression
Allergies: Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, muscle pain, joint pain, fatigue


Changed on 5/7/2021

VAERS ID: 1241105 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Maryland
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Myalgia

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: Headache, neck/back stiffness and pain, upper back muscle spasm; 32 years; 03/30/2021; Pfizer BioNTech
Other Medications: Synthroid, cyclobenzaprine, escitalopram, citirizine
Current Illness:
Preexisting Conditions: Hypothyroidism, degenerative disc disease, spinal arthritis, spinal stenosis, environmental allergies (pollen, dust, dogs, cats), anxiety, depression
Allergies: Bactrim Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, muscle pain, joint pain, fatigue


Changed on 5/14/2021

VAERS ID: 1241105 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Maryland
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Myalgia

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: Headache, neck/back stiffness and pain, upper back muscle spasm; 32 years; 03/30/2021; Pfizer BioNTech
Other Medications: Synthroid, cyclobenzaprine, escitalopram, citirizine
Current Illness:
Preexisting Conditions: Hypothyroidism, degenerative disc disease, spinal arthritis, spinal stenosis, environmental allergies (pollen, dust, dogs, cats), anxiety, depression
Allergies: Bactrim Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, muscle pain, joint pain, fatigue

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241105&WAYBACKHISTORY=ON


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