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This is VAERS ID 1400019

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1400019
VAERS Form:2
Age:55.0
Sex:Female
Location:Nevada
Vaccinated:2021-06-01
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Asthenia, Back pain, Fatigue, Headache, Injection site pain, Injection site warmth, Nausea, Pain, Pyrexia, Musculoskeletal stiffness, Oropharyngeal pain, Illness

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:
Other Medications: Mult-vitamin, B6, B12, potassium, Ocuvite, VisiClear, Zytrec
Current Illness: Allegeries were quite bad
Preexisting Conditions: overweight
Allergies: slightly citric acid, sulfur drugs
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: Day 1- 3 tired, slight pain at injection site, fever at injection site, pain & fever at some location as injection on right arm, some body ache on second as though slept in a too small bed or hunched in a chair, slight fever end of second day - lots of water 96 ozs or more, rest, food Day 4 still tired, legs and feet were stiff slight pain in back, fever a little worse, headache, slight sore throat, food went through we as soon as consumed - 2 Tyenol , 128 ozs or more of water Day 5 - 7 a little tired legs below knee a still stiff 2 Tylenols 128 oz of water Day 8 felt better Day 9 very sick in the morning around 9 am fever, weakness, nausea, headache, tired , food, Pedialyte, rested Tylenol Day 10 - 11 very tired slightly fever headache Pedialyte lots of water

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