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This is VAERS ID 1730450

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1730450
VAERS Form:2
Age:34.0
Sex:Female
Location:Unknown
Vaccinated:2021-09-10
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Pyrexia

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: WELLBUTRIN; VITAMIN D [COLECALCIFEROL]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (if covid prior vaccination: Yes)
Allergies:
Diagnostic Lab Data: Test Date: 20210911; Test Name: fever; Result Unstructured Data: Test Result:Unknown results; Comments: Fever after 24 hours
CDC 'Split Type': USPFIZER INC202101191972

Write-up: Fever after 24 hours; This is a spontaneous report from non- contactable consumer reported for herself that: A 34-years-old female patient received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 10Sep2021 (at the age of 34-year-old) (Lot number was unknown) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. Past drug event and Known allergies included: Bactrim and morphine and was diagnosed with COVID-19 before vaccination. The patient was nonpregnant. Concomitant medications included bupropion hydrochloride (WELLBUTRIN) and colecalciferol vitamin d (COLECALCIFEROL). The patient experienced fever after 24 hours on 11Sep2021 with outcome of not recovered. Therapeutic medication was not administrated. It was reported that the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and she hasn''t been tested for COVID-19. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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