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This is VAERS ID 1486964

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1486964
VAERS Form:2
Age:58.0
Sex:Female
Location:Louisiana
Vaccinated:2021-07-08
Onset:2021-07-08
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Erythema, Headache, Influenza like illness, Injection site pain, Pyrexia, Paranasal sinus discomfort

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: Allegra, Singalar, Pramastaton, Lathortin, Flonase, Pepcid, Alprasalone, Mucinex, Hormone Patch-Estrodol
Current Illness: N/A
Preexisting Conditions: Seasonal Allergies
Allergies: Fish, Carrots, Oysters, grass/trees Outdoor/Indoor Allergies, Penicillin, Sulfa, Codeine, Narcotics
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Pt. states after receiving the 1st dose of the Phizer shot 07/08/2021, started experiencing severe headache (36hrs), added sinus pressure, chills *with Fever 101.2/99.8 (lasting 48hrs), flu-like symptoms, arm redness (Circle from the top of the shoulder to elbow), arm pain (injection site) continuing on/off. Physician communications 07/10/2021 recommended Urgent Care if worsening. Urging reporting. (March received infusion after contracting Covid-19)

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