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This is VAERS ID 1241718

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1241718
VAERS Form:2
Age:53.0
Sex:Male
Location:Illinois
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 EW0164 / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Headache, Pain, Pyrexia

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: Zyrtec, vitamin d and b complex, nexium, d-mannose.
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizzy 2 days and still going on.head ache couple hours .body aches 6to 8 hrs. Fever 2 to 3 hours.


Changed on 5/7/2021

VAERS ID: 1241718 Before After
VAERS Form:2
Age:53.0
Sex:Male
Location:Illinois
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 EW0164 / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Headache, Pain, Pyrexia

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: Zyrtec, vitamin d and b complex, nexium, d-mannose.
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizzy 2 days and still going on.head ache couple hours .body aches 6to 8 hrs. Fever 2 to 3 hours.


Changed on 5/14/2021

VAERS ID: 1241718 Before After
VAERS Form:2
Age:53.0
Sex:Male
Location:Illinois
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 EW0164 / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Headache, Pain, Pyrexia

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: Zyrtec, vitamin d and b complex, nexium, d-mannose.
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizzy 2 days and still going on.head ache couple hours .body aches 6to 8 hrs. Fever 2 to 3 hours.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241718&WAYBACKHISTORY=ON


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