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This is VAERS ID 903001

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903001
VAERS Form:2
Age:62.0
Sex:Male
Location:Delaware
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: Work      Purchased by: ??
Symptoms: Abdominal pain, Chills, Defaecation urgency, Fatigue, Exercise tolerance decreased, Bowel movement irregularity

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: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand


Changed on 12/24/2020

VAERS ID: 903001 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Delaware
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: Work      Purchased by: ??
Symptoms: Abdominal pain, Chills, Defaecation urgency, Fatigue, Exercise tolerance decreased, Bowel movement irregularity

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: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand


Changed on 12/30/2020

VAERS ID: 903001 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Delaware
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: Work      Purchased by: ??
Symptoms: Abdominal pain, Chills, Defaecation urgency, Fatigue, Exercise tolerance decreased, Bowel movement irregularity

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: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand


Changed on 5/7/2021

VAERS ID: 903001 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Delaware
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: Work      Purchased by: ??
Symptoms: Abdominal pain, Chills, Defaecation urgency, Fatigue, Exercise tolerance decreased, Bowel movement irregularity

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: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand


Changed on 5/21/2021

VAERS ID: 903001 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Delaware
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: Work      Purchased by: ??
Symptoms: Abdominal pain, Chills, Defaecation urgency, Fatigue, Exercise tolerance decreased, Bowel movement irregularity

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: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand

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