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This is VAERS ID 1764842

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764842
VAERS Form:2
Age:47.0
Sex:Female
Location:Indiana
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 - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Diarrhoea, Dizziness, Pain, Pyrexia

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: Labetalol
Current Illness: N/A
Preexisting Conditions: Asthma/Obese
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Dizziness, severe full body aches, fever, diarrhea

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