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This is VAERS ID 1316296

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1316296
VAERS Form:2
Age:26.0
Sex:Female
Location:Indiana
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Pain, Pyrexia, Vomiting, Respiratory tract congestion, Oropharyngeal pain, Streptococcus test negative, Influenza virus test negative, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Every flu vaccine - fever, aches, chills, fatigue
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 05/10/2021: COVID Test - negative; Strep Test - negative; Flu Test - negative
CDC 'Split Type':

Write-up: 05/04/2021 4:30am - 05/05/2021 9:00 - aches, chills 05/04/2021 - 5/13/2021 - fatigue 05/04/2021 12:00pm - vomited 05/04/2021 7:00pm - fever 100.6?F - took fever reducer (ibuprofen) 05/05/2021 4:00am - 05/11/2021 9:00am - sore throat, coughing, congestion, heavy breathing (hard to breathe)

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