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This is VAERS ID 1768906

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1768906
VAERS Form:2
Age:32.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-09-13
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Chills, Dyspepsia, Headache, Hyperhidrosis, Nausea, Pallor, Pyrexia, Urine analysis, Vomiting, Dysstasia, Blood test, Loss of bladder sensation, Magnetic resonance imaging spinal, Magnetic resonance imaging neck, Magnetic resonance imaging head

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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Chapstick
Diagnostic Lab Data: Blood work, MRI of Brain, neck and spine , Urinary panel (see medical records)
CDC 'Split Type':

Write-up: Headache Fever Chills /Sweating profusely Pale/Could not stand Nausea /Vomiting Burning in stomach/intestines Burning in legs Loss of bladder sensation

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