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This is VAERS ID 1752865

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1752865
VAERS Form:2
Age:50.0
Sex:Male
Location:Tennessee
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Chest pain, Dyspnoea, Eye pain, Fatigue, Malaise, Pain, Pain in extremity, Pyrexia, Rhinorrhoea, Wheezing, Injection site nodule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Have not taken any
Current Illness: None
Preexisting Conditions: Back injury palliative care Covid 19 recovery ( February 2021 thru May 2021 out of work) ; still in active , treated recovery
Allergies: None
Diagnostic Lab Data: Too sick to seek treatment yet , reported to primary physician and pharmacy where shots received Had similar reaction on 1st dose which took 5 days to resolve 2nd dose problems materialized more quickly with symptoms being greater in intensity
CDC 'Split Type':

Write-up: Sudden onset right arm pain, runny nose, knot at injection site, body aches, fever, shortness of breath, wheezing , sore eyes / eye pain; weakness, extreme fatigue , chest pain

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