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This is VAERS ID 902829

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902829
VAERS Form:2
Age:23.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-16
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 / UNK LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Injection site erythema

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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness to injection site


Changed on 12/24/2020

VAERS ID: 902829 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-16
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 / UNK LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Injection site erythema

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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B B
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness to injection site


Changed on 12/30/2020

VAERS ID: 902829 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-16
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 / UNK LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Injection site erythema

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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B B
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness to injection site


Changed on 5/7/2021

VAERS ID: 902829 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-16
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 / UNK LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Injection site erythema

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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B B
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness to injection site


Changed on 5/14/2021

VAERS ID: 902829 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-16
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 / UNK LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Injection site erythema

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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: pertussis and hep B B
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness to injection site

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