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This is VAERS ID 1700841

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1700841
VAERS Form:2
Age:39.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-09-11
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Back pain, Cough, Diarrhoea, Fatigue, Feeling abnormal, Feeling hot, Headache, Oral discomfort, Pain, Musculoskeletal chest pain, Paraesthesia oral

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: 2005 Flu shot
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The first day it was upset stomach and diarrhea, tired and hazy and awful headache. The next day it was tired and headache. Then second night and third day body aches, my body feels on fire but no fever and head hurts tired dazed. Fourth and fifth day rib and back pain, cough, tongue and lips feel weird.

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