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This is VAERS ID 1367991

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367991
VAERS Form:2
Age:55.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-06-01
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Nausea

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: Levothyroxine, Celexa, gabapentin, lorzapam
Current Illness: none
Preexisting Conditions: hypothyroid
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Scale of 1-10. 10 being severe. 1:30 am joint pain, 5; site tenderness, 4; nausea, 3. Joint pain lessened by 12 pm on 06/02. Nausea worsened all day on 06/02. Loose stools 11 times that same day.

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