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This is VAERS ID 1696358

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696358
VAERS Form:2
Age:67.0
Sex:Male
Location:Texas
Vaccinated:2021-09-13
Onset:2021-09-13
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ENO183 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache, Injection site 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:
Other Medications: steroids, oral anti-inflammatory
Current Illness: COVID, Delta varient
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: extreme, severe, sudden onset headache six hours after shot extreme muscle soreness at injection site starting overnight

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