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This is VAERS ID 1378805

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378805
VAERS Form:2
Age:47.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Headache, Injection site pain, Nausea, Pain in extremity

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: Areds capsules 2 capsules daily Eye promise dry eye 2 capsules daily Blink gel eye drops two drops daily
Current Illness: Right eye ulcers
Preexisting Conditions: Dry eyes
Allergies:
Diagnostic Lab Data: No tests and no labs.
CDC 'Split Type':

Write-up: Headache and nausea at 3:00am on 04jun2021. No treatment given. Drank plenty of water throughout the day. Headache and nausea resolved approximately 8:00pm 04Jun2021. Left arm soreness at time of injection at injection site.

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