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This is VAERS ID 903094

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903094
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.


Changed on 12/24/2020

VAERS ID: 903094 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.


Changed on 12/30/2020

VAERS ID: 903094 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.


Changed on 5/7/2021

VAERS ID: 903094 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.


Changed on 5/21/2021

VAERS ID: 903094 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.


Changed on 6/18/2021

VAERS ID: 903094 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Wisconsin
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Heart rate increased, Hypertension, Incoherent, Tinnitus

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: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: None
CDC 'Split Type': VSafe vsafe

Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued.

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