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This is VAERS ID 1367921

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367921
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Abdominal discomfort, Asthenia, Back pain, Headache, Pain, Vision blurred

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: Medroxyprogesterone Intramuscular.
Current Illness: Pt denies
Preexisting Conditions: no
Allergies: Pt denies
Diagnostic Lab Data: none so far
CDC 'Split Type':

Write-up: Pt experienced weakness in body and blurry vision 5 minutes after 2nd dose of COVID-19 Pfizer. Pt woke up the next day to sharp lower back pain, body aches, HA and stomach discomfort.

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