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This is VAERS ID 903043

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903043
VAERS Form:2
Age:31.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Fatigue, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC 'Split Type':

Write-up: chills, headache, weakness, fatigue


Changed on 12/24/2020

VAERS ID: 903043 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Fatigue, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC 'Split Type':

Write-up: chills, headache, weakness, fatigue


Changed on 12/30/2020

VAERS ID: 903043 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Fatigue, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC 'Split Type':

Write-up: chills, headache, weakness, fatigue


Changed on 5/7/2021

VAERS ID: 903043 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Fatigue, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC 'Split Type':

Write-up: chills, headache, weakness, fatigue


Changed on 5/21/2021

VAERS ID: 903043 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Fatigue, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC 'Split Type':

Write-up: chills, headache, weakness, fatigue

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