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This is VAERS ID 1490060

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490060
VAERS Form:2
Age:55.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-06-18
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: SARS-CoV-2 test positive, Asymptomatic COVID-19

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: FLUoxetine (PROzac) 20 mg capsule gabapentin (NEURONTIN) 300 mg capsule meloxicam (MOBIC) 15 mg tablet(Expired) traZODone (DESYREL) 100 mg tablet
Current Illness: Abnormal mammogram - invasive ductal carcinoma
Preexisting Conditions: Nervous Headache(784.0) Brachial neuritis Lumbar radiculopathy Sciatica Respiratory Enlarged tonsils Digestive Obesity Genitourinary Hot flashes, menopausal Musculoskeletal Foreign body of left hand, initial encounter Acquired spondylolisthesis Cervical spondylosis without myelopathy Cervical disc disorder Plantar fascial fibromatosis Sprain of medial collateral ligament of knee Synovitis and tenosynovitis Immune Exercise anaphylaxis Other Depression Encounter for gynecological examination without abnormal finding Encounter for mammogram to establish baseline mammogram Long term use of drug Screen for colon cancer Screening for breast cancer Screening for lipid disorders Screening mammogram, encounter for Need for hepatitis C screening test Screening for HIV (human immunodeficiency virus) Insomnia, unspecified type Disorder of soft tissue Encounter for removal of sutures Spinal stenosis of lumbar region Infiltrating ductal carcinoma of left breast
Allergies: No Known Allergies
Diagnostic Lab Data: COVID-19 (SARS CoV-2,RNA Molecular Amplification)
CDC 'Split Type':

Write-up: Patient tested positive for COVID-19 but is asymptomatic

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1490060&WAYBACKHISTORY=ON


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