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This is VAERS ID 1328548

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328548
VAERS Form:2
Age:12.0
Sex:Female
Location:New Jersey
Vaccinated:2021-05-15
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Nasal congestion, Pyrexia, Streptococcus test, Respiratory viral panel, SARS-CoV-2 test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec, claritin, multivitamin, vitamin d
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Urgent care visit, Covid rapid test, PCR test, respiratory panel, strep (rapid and culture)
CDC 'Split Type':

Write-up: fever to 102.6 day 3 after vaccine, chills, headache, increased nasal congestion

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