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This is VAERS ID 1744355

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1744355
VAERS Form:2
Age:65.0
Sex:Female
Location:Florida
Vaccinated:2021-09-28
Onset:2021-09-29
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / UNK LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain, Injection site pruritus, Malaise, Myalgia, Nausea, Decreased appetite

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Itching, injection site pain 14 hrs. after injection, tiredness, headache, muscle pain, chills, nausea, feeling unwell, decreased appetite and felt like fainting. Temp 97.7 at 10:00 am 09/29/21.

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