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This is VAERS ID 902832

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902832
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Malaise, Orthostatic hypotension, Pain, Pyrexia, Tinnitus

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen.


Changed on 12/24/2020

VAERS ID: 902832 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Malaise, Orthostatic hypotension, Pain, Pyrexia, Tinnitus

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen.


Changed on 12/30/2020

VAERS ID: 902832 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Malaise, Orthostatic hypotension, Pain, Pyrexia, Tinnitus

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen.


Changed on 5/7/2021

VAERS ID: 902832 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Malaise, Orthostatic hypotension, Pain, Pyrexia, Tinnitus

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen.


Changed on 5/14/2021

VAERS ID: 902832 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Malaise, Orthostatic hypotension, Pain, Pyrexia, Tinnitus

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins Cephalosporins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen.

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