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This is VAERS ID 902842

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 902842
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
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 EK5730 / 1 AR / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Head discomfort

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: advair, albuterol, azelastine,clotrimazole, duoneb, flonase, meloxicam, metformin, singular, nucala, probiotic, spiriva, Theo-24,
Current Illness:
Preexisting Conditions: Asthma
Allergies: oxycodone,codiene, Nickel, Penicillin, augmentin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Scratching head, redness to hands


Changed on 5/7/2021

VAERS ID: 902842 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
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 EK5730 / 1 AR / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Head discomfort

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: advair, albuterol, azelastine,clotrimazole, duoneb, flonase, meloxicam, metformin, singular, nucala, probiotic, spiriva, Theo-24,
Current Illness:
Preexisting Conditions: Asthma
Allergies: oxycodone,codiene, Nickel, Penicillin, augmentin augmentin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Scratching head, redness to hands


Changed on 5/14/2021

VAERS ID: 902842 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
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 EK5730 / 1 AR / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Head discomfort

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: advair, albuterol, azelastine,clotrimazole, duoneb, flonase, meloxicam, metformin, singular, nucala, probiotic, spiriva, Theo-24,
Current Illness:
Preexisting Conditions: Asthma
Allergies: oxycodone,codiene, Nickel, Penicillin, augmentin augmentin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Scratching head, redness to hands

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