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This is VAERS ID 1454076

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454076
VAERS Form:2
Age:23.0
Sex:Female
Location:New Jersey
Vaccinated:2021-07-06
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Back pain, Pain in extremity, Pyrexia, Axillary pain

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: Mild rash on lower back at age 15 after taking first dose of oral vaccine for typhoid fever
Other Medications:
Current Illness:
Preexisting Conditions: Major clincial depression coupled with chronic insomnia, mild anxiety disorder Both manifest themselves in physical ways such as pain
Allergies: Mild cashew allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sore arm on side of injection Tender armpit on side of injection Woke up with fever day after injection Pain in middle of back similar day after injection

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454076&WAYBACKHISTORY=ON


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