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This is VAERS ID 1775648

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775648
VAERS Form:2
Age:66.0
Sex:Female
Location:Indiana
Vaccinated:2021-10-01
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Feeling abnormal, Headache, Insomnia, Nausea, Pain, Pain in extremity, Pollakiuria, Urinary incontinence, Limb discomfort, Decreased appetite

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: Pfizer #1 02/26/2021 and Pfizer #2 03/19/2021
Other Medications: Levoxyl, Cytomel.
Current Illness:
Preexisting Conditions: Fibromyalgia, arthritis, migraines, post-surgical hypothyroidism, depression.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: nausea, dizziness, felt like an explosion in my arm, achy, teeth chattering and severe shivering, chills, in too much pain from aches to sleep, feel like I got hit by a truck, brain fog, headache, urinary incontinence, peeing after not drinking, lack of appetite, sore arm.

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