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This is VAERS ID 903218

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903218
VAERS Form:2
Age:54.0
Sex:Male
Location:Mississippi
Vaccinated:2020-12-17
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Myalgia, Laboratory test

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: Tylenol taken after vaccination
Current Illness:
Preexisting Conditions: Diabetes
Allergies: None
Diagnostic Lab Data: EKG and labs completed
CDC 'Split Type':

Write-up: Patient reports chest heaviness, muscle aches, loss of energy. No fever or chills noted.


Changed on 12/24/2020

VAERS ID: 903218 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Mississippi
Vaccinated:2020-12-17
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Myalgia, Laboratory test

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: Tylenol taken after vaccination
Current Illness:
Preexisting Conditions: Diabetes
Allergies: None None
Diagnostic Lab Data: EKG and labs completed
CDC 'Split Type':

Write-up: Patient reports chest heaviness, muscle aches, loss of energy. No fever or chills noted.


Changed on 12/30/2020

VAERS ID: 903218 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Mississippi
Vaccinated:2020-12-17
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Myalgia, Laboratory test

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: Tylenol taken after vaccination
Current Illness:
Preexisting Conditions: Diabetes
Allergies: None None
Diagnostic Lab Data: EKG and labs completed
CDC 'Split Type':

Write-up: Patient reports chest heaviness, muscle aches, loss of energy. No fever or chills noted.


Changed on 5/7/2021

VAERS ID: 903218 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Mississippi
Vaccinated:2020-12-17
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Myalgia, Laboratory test

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: Tylenol taken after vaccination
Current Illness:
Preexisting Conditions: Diabetes
Allergies: None None
Diagnostic Lab Data: EKG and labs completed
CDC 'Split Type':

Write-up: Patient reports chest heaviness, muscle aches, loss of energy. No fever or chills noted.


Changed on 5/14/2021

VAERS ID: 903218 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Mississippi
Vaccinated:2020-12-17
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Myalgia, Laboratory test

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: Tylenol taken after vaccination
Current Illness:
Preexisting Conditions: Diabetes
Allergies: None None
Diagnostic Lab Data: EKG and labs completed
CDC 'Split Type':

Write-up: Patient reports chest heaviness, muscle aches, loss of energy. No fever or chills noted.

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