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This is VAERS ID 903024

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903024
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
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: Eye pain, Headache, Rosacea

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)? 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


Changed on 12/24/2020

VAERS ID: 903024 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
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: Eye pain, Headache, Rosacea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin Aspirin
Diagnostic Lab Data: N/A
CDC 'Split Type':

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


Changed on 12/30/2020

VAERS ID: 903024 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
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: Eye pain, Headache, Rosacea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin Aspirin
Diagnostic Lab Data: N/A
CDC 'Split Type':

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


Changed on 5/7/2021

VAERS ID: 903024 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
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: Eye pain, Headache, Rosacea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin Aspirin
Diagnostic Lab Data: N/A
CDC 'Split Type':

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


Changed on 5/21/2021

VAERS ID: 903024 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
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: Eye pain, Headache, Rosacea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin 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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