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This is VAERS ID 1484731

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484731
VAERS Form:2
Age:57.0
Sex:Female
Location:New Mexico
Vaccinated:2021-01-28
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Headache, Nasal congestion, Pyrexia, Respiratory syncytial virus test negative, Influenza A virus test negative, Influenza B virus test, COVID-19, SARS-CoV-2 test positive

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: Montelukast, Albuterol inhalor, candesartan, Omega-3 fish oil, triamcinolone cream, Glyburide/metformin, Atorvastatin, Asprin, Lorantadine,
Current Illness: None
Preexisting Conditions: HTN, DM type 2, Hyperlipidemia, Obesity, Seasonal Allergy, Asthma,
Allergies: Penicillin
Diagnostic Lab Data: Jul 18, 2021@14:23:46 FLU A (CEPHEID) NEGATIVE , FLU B (CEPHEID) NEGATIVE , RSV (CEPHEID) NEGATIVE COVID-19 (CEPHEID) POSITIVEA*
CDC 'Split Type':

Write-up: complaining of headache, congestion, fever and cough x 1 day.

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