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This is VAERS ID 902575

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902575
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site pain, Pain in extremity

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

Write-up: Pain in deltoid muscle upon pressure at night. Hard to lay on the side of the vaccine due to pain in the arm


Changed on 12/24/2020

VAERS ID: 902575 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site pain, Pain in extremity

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

Write-up: Pain in deltoid muscle upon pressure at night. Hard to lay on the side of the vaccine due to pain in the arm


Changed on 12/30/2020

VAERS ID: 902575 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site pain, Pain in extremity

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

Write-up: Pain in deltoid muscle upon pressure at night. Hard to lay on the side of the vaccine due to pain in the arm


Changed on 5/7/2021

VAERS ID: 902575 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site pain, Pain in extremity

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

Write-up: Pain in deltoid muscle upon pressure at night. Hard to lay on the side of the vaccine due to pain in the arm


Changed on 5/14/2021

VAERS ID: 902575 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Florida
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site pain, Pain in extremity

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

Write-up: Pain in deltoid muscle upon pressure at night. Hard to lay on the side of the vaccine due to pain in the arm

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