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From the 1/7/2022 release of VAERS data:

This is VAERS ID 903024

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Case Details

VAERS ID: 903024 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
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: Eye pain, Headache, Rosacea
SMQs:, Glaucoma (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Headache, right retroocular pain, exacerbation of rosacea Tx. acetaminophen Duration: 3 hours


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