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This is VAERS ID 905657

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905657
VAERS Form:2
Age:19.0
Sex:Female
Location:Illinois
Vaccinated:2020-12-19
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Dyspnoea, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: She was sore at injection site later on day of injection (12/20) that developed into whole body muscle aches the next day (12/21). She also reported a cough started on 12/20 and this has persisted and slight Shortness of breath started 12/20 that has become worse today 12/21 where if she is moving around she needs to stop and take a few breaths. She denied any feeling of life threatening shortness or breath or need to go to ER. She has been instructed to contact employee health prior to coming back to work given cough/SOB not typically a reaction to vaccine.


Changed on 5/7/2021

VAERS ID: 905657 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Illinois
Vaccinated:2020-12-19
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Dyspnoea, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: She was sore at injection site later on day of injection (12/20) that developed into whole body muscle aches the next day (12/21). She also reported a cough started on 12/20 and this has persisted and slight Shortness of breath started 12/20 that has become worse today 12/21 where if she is moving around she needs to stop and take a few breaths. She denied any feeling of life threatening shortness or breath or need to go to ER. She has been instructed to contact employee health prior to coming back to work given cough/SOB not typically a reaction to vaccine.


Changed on 5/14/2021

VAERS ID: 905657 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Illinois
Vaccinated:2020-12-19
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cough, Dyspnoea, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: She was sore at injection site later on day of injection (12/20) that developed into whole body muscle aches the next day (12/21). She also reported a cough started on 12/20 and this has persisted and slight Shortness of breath started 12/20 that has become worse today 12/21 where if she is moving around she needs to stop and take a few breaths. She denied any feeling of life threatening shortness or breath or need to go to ER. She has been instructed to contact employee health prior to coming back to work given cough/SOB not typically a reaction to vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=905657&WAYBACKHISTORY=ON


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