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This is VAERS ID 902725

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902725
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food.
Diagnostic Lab Data: None
CDC 'Split Type': v-safe

Write-up: I experienced a sore arm and could not lift my arm.


Changed on 12/24/2020

VAERS ID: 902725 Before After
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food. food.
Diagnostic Lab Data: None
CDC 'Split Type': v-safe

Write-up: I experienced a sore arm and could not lift my arm.


Changed on 12/30/2020

VAERS ID: 902725 Before After
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food. food.
Diagnostic Lab Data: None
CDC 'Split Type': v-safe

Write-up: I experienced a sore arm and could not lift my arm.


Changed on 1/7/2021

VAERS ID: 902725 Before After
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food.
Diagnostic Lab Data: None
CDC 'Split Type': v-safe (blank)

Write-up: I experienced a sore arm and could not lift my arm.


Changed on 5/7/2021

VAERS ID: 902725 Before After
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food. food.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: I experienced a sore arm and could not lift my arm.


Changed on 5/14/2021

VAERS ID: 902725 Before After
VAERS Form:2
Age:80.0
Sex:Male
Location:Virginia
Vaccinated:2020-12-14
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 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food. food.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: I experienced a sore arm and could not lift my arm.

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