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This is VAERS ID 1246275

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1246275
VAERS Form:2
Age:38.0
Sex:Female
Location:Florida
Vaccinated:2021-04-14
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Herpes zoster, Malaise, Pyrexia, Ocular discomfort, Facial discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 20mg
Current Illness: None
Preexisting Conditions: Granuloma Annulare
Allergies: Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.


Changed on 5/7/2021

VAERS ID: 1246275 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Florida
Vaccinated:2021-04-14
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Herpes zoster, Malaise, Pyrexia, Ocular discomfort, Facial discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 20mg
Current Illness: None
Preexisting Conditions: Granuloma Annulare
Allergies: Sulfa Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.


Changed on 5/14/2021

VAERS ID: 1246275 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Florida
Vaccinated:2021-04-14
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Herpes zoster, Malaise, Pyrexia, Ocular discomfort, Facial discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 20mg
Current Illness: None
Preexisting Conditions: Granuloma Annulare
Allergies: Sulfa Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.

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