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This is VAERS ID 902745

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902745
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK


Changed on 12/24/2020

VAERS ID: 902745 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK


Changed on 12/30/2020

VAERS ID: 902745 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK


Changed on 5/7/2021

VAERS ID: 902745 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK


Changed on 5/14/2021

VAERS ID: 902745 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pain, Painful respiration, Paraesthesia, Musculoskeletal chest pain, Injected limb mobility decreased

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, SLEEP APNEA, PSEUDOMOTOR CEREBRI
Allergies: DEMEROL DEMEROL
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PAIN AND EDEMA AT SITE OF INJECTION LEFT ARM WITH DECREASED RANGE OF MOTION LEFT ARM RIB CAGE PAIN ON INSPIRATION MUSCLE PAIN RIGHT AND LEFT THIGHS, WORSENING UPON AMBULATION MUSCLE PAIN AND TINGLING RIGHT UPPER EXTREMITY AND BACK

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