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This is VAERS ID 1433579

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433579
VAERS Form:2
Age:17.0
Sex:Female
Location:California
Vaccinated:2021-06-20
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Hypersomnia, Malaise, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prazosin - 4mg daily at bed time Mirtazapaine - 30mg daily at bed time Olanzapine - 5mg daily at lunch hour Olanzapine - 15mg daily at bed time Bupropian - 150mg 2x daily, one in morning, one at lunch hour
Current Illness: None.
Preexisting Conditions: Mild asthma Vocal chord disfunction
Allergies: Pineapple Ibprofin Cefdiner Ketamine
Diagnostic Lab Data: None as of yet.
CDC 'Split Type':

Write-up: Initially felt common side effects such as aches generally not feeling well. Then suffered extreme fatigue/tiredness, sleeping 13+ hours over night and multiple hour naps. This has continued a week after the vaccine was administered

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