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This is VAERS ID 932709

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 932709
VAERS Form:2
Age:18.0
Sex:Unknown
Location:Texas
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Chills, Feeling cold

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: pickles, cheese, sulfa drugs
Diagnostic Lab Data: B/P 141/100 PR 96 AT 1:10
CDC 'Split Type':

Write-up: PATIENT FELT COLD (CHILLS) ,. PATIENT REFUSED EMERGENCY SERVICES AND/ OR TO CONTACT A DOCTOR.


Changed on 5/7/2021

VAERS ID: 932709 Before After
VAERS Form:2
Age:18.0
Sex:Unknown
Location:Texas
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Chills, Feeling cold

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: pickles, cheese, sulfa drugs drugs
Diagnostic Lab Data: B/P 141/100 PR 96 AT 1:10
CDC 'Split Type':

Write-up: PATIENT FELT COLD (CHILLS) ,. PATIENT REFUSED EMERGENCY SERVICES AND/ OR TO CONTACT A DOCTOR.


Changed on 5/21/2021

VAERS ID: 932709 Before After
VAERS Form:2
Age:18.0
Sex:Unknown
Location:Texas
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Chills, Feeling cold

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: pickles, cheese, sulfa drugs drugs
Diagnostic Lab Data: B/P 141/100 PR 96 AT 1:10
CDC 'Split Type':

Write-up: PATIENT FELT COLD (CHILLS) ,. PATIENT REFUSED EMERGENCY SERVICES AND/ OR TO CONTACT A DOCTOR.

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