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This is VAERS ID 902839

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902839
VAERS Form:2
Age:58.0
Sex:Female
Location:Alaska
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Injection site swelling

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: None
Current Illness: None
Preexisting Conditions: Colitis secondary to possible Crohn''s disease, Inflammatory Polyarthropathy
Allergies: Adhesive Bandages, Bactrim abx
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain and swelling of the injection site


Changed on 12/24/2020

VAERS ID: 902839 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Alaska
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Injection site swelling

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: None
Current Illness: None
Preexisting Conditions: Colitis secondary to possible Crohn''s disease, Inflammatory Polyarthropathy
Allergies: Adhesive Bandages, Bactrim abx abx
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain and swelling of the injection site


Changed on 12/30/2020

VAERS ID: 902839 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Alaska
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Injection site swelling

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: None
Current Illness: None
Preexisting Conditions: Colitis secondary to possible Crohn''s disease, Inflammatory Polyarthropathy
Allergies: Adhesive Bandages, Bactrim abx abx
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain and swelling of the injection site


Changed on 5/7/2021

VAERS ID: 902839 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Alaska
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Injection site swelling

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: None
Current Illness: None
Preexisting Conditions: Colitis secondary to possible Crohn''s disease, Inflammatory Polyarthropathy
Allergies: Adhesive Bandages, Bactrim abx abx
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain and swelling of the injection site


Changed on 5/14/2021

VAERS ID: 902839 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Alaska
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 EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Injection site swelling

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: None
Current Illness: None
Preexisting Conditions: Colitis secondary to possible Crohn''s disease, Inflammatory Polyarthropathy
Allergies: Adhesive Bandages, Bactrim abx abx
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain and swelling of the injection site

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