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This is VAERS ID 1777975

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1777975
VAERS Form:2
Age:64.0
Sex:Female
Location:California
Vaccinated:2021-10-08
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8841 / 3 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chills, Dizziness, Injection site pain, Pyrexia, Vomiting

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: Shingrex
Other Medications: Glumetza Trajenta Aciphex Rosuvastatin Vitamin D Multi Vitamin
Current Illness: None
Preexisting Conditions: Diabetes High Blood Pressure
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Very sore injection site- Left Arm Chills Dizziness Fever- 100.6 Vomiting Tylenol in morning Fever went away after a Tylenol , no more vomiting or chills Felt better towards evening 10/9/2021

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