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This is VAERS ID 1758850

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758850
VAERS Form:2
Age:17.0
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, Fatigue, Muscle spasms, Pain

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: MMR and Chicken pox vaccines resulted in fever and Rash
Other Medications: Guafasine, vitamin C, topical medicated shampoo
Current Illness:
Preexisting Conditions: ADD, Asthma, psoriasis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches, cramps, fatigue, upset stomach

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