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This is VAERS ID 1492075

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1492075
VAERS Form:2
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:2021-07-17
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Headache, Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Lethargy, Pain, Pyrexia, Skin reaction, Injection site swelling

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: MMR booster at age 25, pain and swelling for several daya
Other Medications: Generic Nexium, Wellbutrin, Lexapro
Current Illness: N/a
Preexisting Conditions: Obesity, depression
Allergies: Possible tree nuts
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Chills, fever of 102, lethargy, headache, body pain, subsequent ?COVID arm? at injection site 1-3 days later with itching, soreness, swelling, heat.

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