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This is VAERS ID 902900

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902900
VAERS Form:2
Age:34.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia

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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea


Changed on 12/24/2020

VAERS ID: 902900 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia

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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea


Changed on 12/30/2020

VAERS ID: 902900 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia

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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea


Changed on 5/7/2021

VAERS ID: 902900 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia

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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea


Changed on 5/14/2021

VAERS ID: 902900 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Malaise, Nausea, Pyrexia

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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea

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