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This is VAERS ID 1396782

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1396782
VAERS Form:2
Age:55.0
Sex:Female
Location:California
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Chills, Fatigue, Headache, Injection site pain, Lymphadenopathy, Pyrexia, Axillary pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: first dose of Covid vaccine
Other Medications: Same as when I received the first dose
Current Illness: N/A
Preexisting Conditions: HTN
Allergies: PPD
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: arm pain on the injection site and arm pit. enlarge lymph node, headache, fatigue, low grade fever, chill. These took about 10 days I took Tylenol and sleep a lot

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