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This is VAERS ID 903402

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903402
VAERS Form:2
Age:48.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Cough, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion, Impaired work ability

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: Spironaloactone. Linzess. Advair Nature Thyroid Swiss Kris Albuterol
Current Illness: Diagnosed with Covid on 12/5/2020. Had moderate symptoms for 10 days.
Preexisting Conditions: hypothyroid mild asthma
Allergies: Unk food allergy that resulting in anaphylaxis.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My symptoms started with bodyaches and fatigue. Quckly followed by a fever that reached 102.4. Later that night I had congestion, cough and headache. Woke up the next mornign with moderate/sever bodyaches, chills, cough and headache. Moderate fatigue as well. Had to miss work.


Changed on 12/24/2020

VAERS ID: 903402 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Cough, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion, Impaired work ability

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: Spironaloactone. Linzess. Advair Nature Thyroid Swiss Kris Albuterol
Current Illness: Diagnosed with Covid on 12/5/2020. Had moderate symptoms for 10 days.
Preexisting Conditions: hypothyroid mild asthma
Allergies: Unk food allergy that resulting in anaphylaxis. anaphylaxis.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My symptoms started with bodyaches and fatigue. Quckly followed by a fever that reached 102.4. Later that night I had congestion, cough and headache. Woke up the next mornign with moderate/sever bodyaches, chills, cough and headache. Moderate fatigue as well. Had to miss work.


Changed on 12/30/2020

VAERS ID: 903402 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Cough, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion, Impaired work ability

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: Spironaloactone. Linzess. Advair Nature Thyroid Swiss Kris Albuterol
Current Illness: Diagnosed with Covid on 12/5/2020. Had moderate symptoms for 10 days.
Preexisting Conditions: hypothyroid mild asthma
Allergies: Unk food allergy that resulting in anaphylaxis. anaphylaxis.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My symptoms started with bodyaches and fatigue. Quckly followed by a fever that reached 102.4. Later that night I had congestion, cough and headache. Woke up the next mornign with moderate/sever bodyaches, chills, cough and headache. Moderate fatigue as well. Had to miss work.


Changed on 5/7/2021

VAERS ID: 903402 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Cough, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion, Impaired work ability

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: Spironaloactone. Linzess. Advair Nature Thyroid Swiss Kris Albuterol
Current Illness: Diagnosed with Covid on 12/5/2020. Had moderate symptoms for 10 days.
Preexisting Conditions: hypothyroid mild asthma
Allergies: Unk food allergy that resulting in anaphylaxis. anaphylaxis.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My symptoms started with bodyaches and fatigue. Quckly followed by a fever that reached 102.4. Later that night I had congestion, cough and headache. Woke up the next mornign with moderate/sever bodyaches, chills, cough and headache. Moderate fatigue as well. Had to miss work.


Changed on 5/21/2021

VAERS ID: 903402 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Cough, Fatigue, Headache, Pain, Pyrexia, Respiratory tract congestion, Impaired work ability

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: Spironaloactone. Linzess. Advair Nature Thyroid Swiss Kris Albuterol
Current Illness: Diagnosed with Covid on 12/5/2020. Had moderate symptoms for 10 days.
Preexisting Conditions: hypothyroid mild asthma
Allergies: Unk food allergy that resulting in anaphylaxis. anaphylaxis.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My symptoms started with bodyaches and fatigue. Quckly followed by a fever that reached 102.4. Later that night I had congestion, cough and headache. Woke up the next mornign with moderate/sever bodyaches, chills, cough and headache. Moderate fatigue as well. Had to miss work.

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