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This is VAERS ID 1761274

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1761274
VAERS Form:2
Age:65.0
Sex:Female
Location:Texas
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 3 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Chills, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pfizer covid second dose 3/30/2021 lot EP6955
Other Medications: Bystolic, Tekturna, Synthroid
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills, weakens, and high fever for 36 hours. Temp ran from 101 to over 103 for 36 hours.T emp perked at over 103 for 5 hours. Took tylenol for this.

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