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This is VAERS ID 1768214

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1768214
VAERS Form:2
Age:20.0
Sex:Male
Location:Unknown
Vaccinated:2021-10-05
Onset:2021-10-05
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8841 / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Cough, Dizziness, Injection site pain, Nausea, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Arm swelling with influenza vaccine
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Pfizer booster 10/5 in the morning, later in the afternoon started to experience nausea, dizziness, lightheadedness, weakness, chills, runny nose, cough, left arm sore at injection site.

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