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This is VAERS ID 1764614

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764614
VAERS Form:2
Age:45.0
Sex:Female
Location:Tennessee
Vaccinated:2021-10-04
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 RA / -
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK RA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Pain, Pain in extremity, Pyrexia, Vertigo, Injection site swelling

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: Losartan for high blood pressue
Current Illness: None
Preexisting Conditions: High blood pressure. Maintained through medication
Allergies: None
Diagnostic Lab Data: None This has not been reported to any doctors. I thought it important to advise the cdc on my personal side effects. If the vertigo does not go away, I will seek advise from healthcare.
CDC 'Split Type':

Write-up: Date of vaccine. Evening head ache and arm pain. Approximately 8pm symptoms started. Headache progressed and worsened through night. Pain in arm also increased. In the more I experienced body aches, feverish chills, head ache and arm pain. I took Motrin and pain, headache subsided (6am). Approximately 2pm day after my symptoms returned with increased body ache, headache, feverish chills, and vertigo. I took more Motrin at 8pm and went to bed. 10/6/21 I woke up with all symptoms gone besides the vertigo and golf ball sized spot from infection site. I have never experienced Vertigo until yesterday.

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