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This is VAERS ID 1771934

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1771934
VAERS Form:2
Age:49.0
Sex:Female
Location:Arkansas
Vaccinated:2021-09-29
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC2589 / 2 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Aphonia, Chills, Eye pain, Gait inability, Headache, Pharyngitis, Pyrexia, Sinusitis, Wheezing

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

Write-up: next day got severe chills, 104 fever, voice left from coughing, barely could walk, severe headache, eyed hurting, and wheezing: sinusitis, pharyngitis

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