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This is VAERS ID 909597

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 909597
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Headache, Malaise, Petechiae, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Nka
Diagnostic Lab Data: None at this time, will consult primary doctor tomorrow 12/28/20.. currently in communication with employee health
CDC 'Split Type':

Write-up: Besides from the low grade headache, i started to have chills, then fever for 5 days, joint pains and generalized body malaise, observed " petechiae rash" on my face


Changed on 5/7/2021

VAERS ID: 909597 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Headache, Malaise, Petechiae, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Nka Nka
Diagnostic Lab Data: None at this time, will consult primary doctor tomorrow 12/28/20.. currently in communication with employee health
CDC 'Split Type':

Write-up: Besides from the low grade headache, i started to have chills, then fever for 5 days, joint pains and generalized body malaise, observed " petechiae rash" on my face


Changed on 5/14/2021

VAERS ID: 909597 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Headache, Malaise, Petechiae, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Nka Nka
Diagnostic Lab Data: None at this time, will consult primary doctor tomorrow 12/28/20.. currently in communication with employee health
CDC 'Split Type':

Write-up: Besides from the low grade headache, i started to have chills, then fever for 5 days, joint pains and generalized body malaise, observed " petechiae rash" on my face

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=909597&WAYBACKHISTORY=ON


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