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This is VAERS ID 1759337

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759337
VAERS Form:2
Age:69.0
Sex:Female
Location:Minnesota
Vaccinated:2021-02-26
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Epistaxis, Nasal congestion, Pain, Sinus congestion, Ear discomfort, Extra dose administered, Upper-airway cough syndrome

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: Vitamin Cl Multivitaminl Ibandronate; Lovastatin; Losartanl Atenolol; Amlopipine; Famotine; Levothryroxine; Estradiol
Current Illness: none
Preexisting Conditions: hypothyrodism; hypertension; GERD; recurrent maxillary sinusitis
Allergies: codiene; penicillin V potassium
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: chills, body aches, nasal congestion, sinus congestion, post nasal drainage, epistaxis, ear fullness. starting on 10/2/21. Husband recently tested positive. Received 3rd dose of Pfizer at grocery store, not at clinic

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