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This is VAERS ID 902990

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902990
VAERS Form:2
Age:30.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test

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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':

Write-up: fever, cough,chills,body aches, weakness, loss of smell


Changed on 12/24/2020

VAERS ID: 902990 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test

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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':

Write-up: fever, cough,chills,body aches, weakness, loss of smell


Changed on 12/30/2020

VAERS ID: 902990 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test

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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':

Write-up: fever, cough,chills,body aches, weakness, loss of smell


Changed on 5/7/2021

VAERS ID: 902990 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test

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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':

Write-up: fever, cough,chills,body aches, weakness, loss of smell


Changed on 5/21/2021

VAERS ID: 902990 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anosmia, Asthenia, Chills, Cough, Pain, Pyrexia, Streptococcus test, Influenza virus test, SARS-CoV-2 test

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: lexapro.
Current Illness: Taking antibiotics for bladder infeciton at time of vaccination
Preexisting Conditions: none
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Swabbed for Covid, FLu, and Strep at Employee Health Clinic
CDC 'Split Type':

Write-up: fever, cough,chills,body aches, weakness, loss of smell

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