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This is VAERS ID 1430481

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430481
VAERS Form:2
Age:32.0
Sex:Male
Location:Washington
Vaccinated:2021-06-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Fatigue, Headache, Hypersomnia, Pyrexia

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: None
Current Illness: None
Preexisting Conditions: Long-standing symptoms due to COVID last year including: -Coughing -Shortness of breath -Fatigue
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Persistent headache (started a few hours after receiving vaccine and has been present off/on throughout the week) Fever (started morning after receiving vaccine, peaked at 103 degrees F, lasted 2 days) Fatigue (started morning after receiving vaccine, sleeping 14-16 hours a day with minimal energy during waking hours)

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