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This is VAERS ID 1778855

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1778855
VAERS Form:2
Age:39.0
Sex:Female
Location:Missouri
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 EW0170 / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Diarrhoea, Influenza like illness, Lymphadenopathy, Nausea, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Trazadone, Wellbutrin, Diazepam. Tylenol and Ibuprofen
Current Illness: none
Preexisting Conditions: obesity and chronic seasonal allergies
Allergies: Mango and Cat Hair
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe flu like symptoms. Nausea, diarrhea, fever, chills, body aches and extremely enlarged lymph nodes under left arm (injection arm).

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