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This is VAERS ID 1774912

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1774912
VAERS Form:2
Age:71.0
Sex:Female
Location:Maryland
Vaccinated:2021-09-29
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Myalgia, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: 2020 flu and pneumonia simultaneously - suffered rash on arm and chest for 3 or so days.
Other Medications: Multivitamins
Current Illness: No
Preexisting Conditions: MGUS
Allergies: No
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Day 7 and 8 after receiving the vaccine, I felt a type of severe fatigue different than I had ever felt before. Suffered pain (4 on a scale of 1 to 10) in leg muscles and joints.

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