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This is VAERS ID 1761330

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1761330
VAERS Form:2
Age:40.0
Sex:Female
Location:Indiana
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 - / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Nausea, Pain, Pain of skin, 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:
Other Medications: Magnesium
Current Illness:
Preexisting Conditions: Lichen Planus
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, chills, body aches so bad my clothes hurt touching my skin, nausea

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