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This is VAERS ID 1776344

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776344
VAERS Form:2
Age:66.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-25
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Pollakiuria, Pyrexia, Hypophagia, COVID-19, SARS-CoV-2 test positive

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: amitriptyline (ELAVIL) 25 mg oral tablet
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Positive COVID test 10/8/21
CDC 'Split Type':

Write-up: Fatigue, decreased PO intake, cough, low grade fever. "Urinating all the time"

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