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This is VAERS ID 918488

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 918488
VAERS Form:2
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-21
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Chills, Headache, Hypoaesthesia, Pain, Pyrexia, COVID-19, SARS-CoV-2 test

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
Current Illness: NA
Preexisting Conditions: NA
Allergies: Penicillin, Amoxicillin, Sulfa Drugs
Diagnostic Lab Data: Covid 19 Test (12/28/2020)
CDC 'Split Type':

Write-up: Covid 19, Fever, Chills, Body Aches, Headache, Left arm numbness, chest tightness


Changed on 5/7/2021

VAERS ID: 918488 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-21
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Chills, Headache, Hypoaesthesia, Pain, Pyrexia, COVID-19, SARS-CoV-2 test

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
Current Illness: NA
Preexisting Conditions: NA
Allergies: Penicillin, Amoxicillin, Sulfa Drugs Drugs
Diagnostic Lab Data: Covid 19 Test (12/28/2020)
CDC 'Split Type':

Write-up: Covid 19, Fever, Chills, Body Aches, Headache, Left arm numbness, chest tightness


Changed on 5/21/2021

VAERS ID: 918488 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-21
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Chills, Headache, Hypoaesthesia, Pain, Pyrexia, COVID-19, SARS-CoV-2 test

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
Current Illness: NA
Preexisting Conditions: NA
Allergies: Penicillin, Amoxicillin, Sulfa Drugs Drugs
Diagnostic Lab Data: Covid 19 Test (12/28/2020)
CDC 'Split Type':

Write-up: Covid 19, Fever, Chills, Body Aches, Headache, Left arm numbness, chest tightness

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