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From the 1/7/2022 release of VAERS data:

This is VAERS ID 903043

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Case Details

VAERS ID: 903043 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-16
Onset:2020-12-17
   Days after vaccination:1
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: Asthenia, Chills, Fatigue, Headache
SMQs:, Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none, had Covid in April 2020
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: rest go home and take OTC Tylenol as directed
CDC Split Type:

Write-up: chills, headache, weakness, fatigue


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