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This is VAERS ID 903871

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903871
VAERS Form:2
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2020-12-17
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Chills, Headache, Pyrexia

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: Birth control pill
Current Illness: Positive COVID resulted on 12/3/2020
Preexisting Conditions: NO
Allergies: No
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: headache, chills, and fever at 102


Changed on 12/30/2020

VAERS ID: 903871 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2020-12-17
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Chills, Headache, Pyrexia

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: Birth control pill
Current Illness: Positive COVID resulted on 12/3/2020
Preexisting Conditions: NO
Allergies: No No
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: headache, chills, and fever at 102


Changed on 5/7/2021

VAERS ID: 903871 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2020-12-17
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Chills, Headache, Pyrexia

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: Birth control pill
Current Illness: Positive COVID resulted on 12/3/2020
Preexisting Conditions: NO
Allergies: No No
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: headache, chills, and fever at 102


Changed on 5/14/2021

VAERS ID: 903871 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2020-12-17
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Chills, Headache, Pyrexia

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: Birth control pill
Current Illness: Positive COVID resulted on 12/3/2020
Preexisting Conditions: NO
Allergies: No No
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: headache, chills, and fever at 102

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903871&WAYBACKHISTORY=ON

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