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This is VAERS ID 1775434

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775434
VAERS Form:2
Age:74.0
Sex:Female
Location:Indiana
Vaccinated:2021-10-08
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF 2590 / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Back pain, Chills, Injection site pain, Insomnia, Pain, Pyrexia

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: Both Pfizer vaccines caused fever and body aches
Other Medications: Niacin, allegra, pantropazol, vitamin D3
Current Illness: Seasonal allergies
Preexisting Conditions: Left knee pain Right shoulder rotator cuff
Allergies: Zocor, penicillin, yellow dye #5
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Body aches, back aches, chills, shivering, fever. Sore muscle at injection site. Little to no sleep first night. Symptoms began approximately 12 to 14 hours following injection. Took tylenol. 2 every 6 hours. Fever gone in about 12 hours. Still some body aches and sore injection site but greatly reduced at 48 hours following injection.

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