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This is VAERS ID 1758837

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758837
VAERS Form:2
Age:36.0
Sex:Female
Location:Florida
Vaccinated:2021-10-02
Onset:2021-10-03
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Muscle spasms, Myalgia, Nasal congestion

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: simvastatin, Amovig injection, vitamin C
Current Illness:
Preexisting Conditions: Asthma, high cholesterol, BRECA 2
Allergies: Penicillin, Ceclor
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: upset stomach, cramping, muscle aches all over, stuffy nose

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