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This is VAERS ID 1775591

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775591
VAERS Form:2
Age:64.0
Sex:Male
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 - / UNK RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Headache, Influenza like illness, Injection site pain, Joint stiffness, Myalgia

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Flu like symptoms, muscle aches. Joint pain and stiffness, severe headaches and dizziness. Lack of energy, chills and severe pain and burning sensation at the injection sight.

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