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This is VAERS ID 934316

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 934316
VAERS Form:2
Age:19.0
Sex:Male
Location:West Virginia
Vaccinated:2021-01-04
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Headache, Injection site pain, Rash

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: Guanfacine, Methylphenidate, and Escitalopram
Current Illness: Had the flu around thanksgiving
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I had pain at the injection site and headaches for three days then since then from the seventh I had had red dots appear around my neck and left shoulder


Changed on 5/7/2021

VAERS ID: 934316 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:West Virginia
Vaccinated:2021-01-04
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Headache, Injection site pain, Rash

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: Guanfacine, Methylphenidate, and Escitalopram
Current Illness: Had the flu around thanksgiving
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I had pain at the injection site and headaches for three days then since then from the seventh I had had red dots appear around my neck and left shoulder


Changed on 5/21/2021

VAERS ID: 934316 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:West Virginia
Vaccinated:2021-01-04
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Headache, Injection site pain, Rash

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: Guanfacine, Methylphenidate, and Escitalopram
Current Illness: Had the flu around thanksgiving
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I had pain at the injection site and headaches for three days then since then from the seventh I had had red dots appear around my neck and left shoulder

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=934316&WAYBACKHISTORY=ON


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