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This is VAERS ID 902824

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902824
VAERS Form:2
Age:28.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-16
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Headache, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, low grade fever (99.3 F)


Changed on 12/24/2020

VAERS ID: 902824 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-16
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Headache, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, low grade fever (99.3 F)


Changed on 12/30/2020

VAERS ID: 902824 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-16
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Headache, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, low grade fever (99.3 F)


Changed on 5/7/2021

VAERS ID: 902824 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-16
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Headache, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, low grade fever (99.3 F)


Changed on 5/14/2021

VAERS ID: 902824 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-16
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Headache, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, low grade fever (99.3 F)

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