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This is VAERS ID 903075

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903075
VAERS Form:2
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH H9899 / 1 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Myalgia, Pyrexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Covid tested 12/16/2020 and result was negative, nasal swab
CDC 'Split Type': vsafe

Write-up: 12/15/2020 I felt terrible with muscle aches, shivering, chills, fever was 102.8,I took tylenol and ibuprofen (alternated) 24 hours after initial fever I ceased meds and fever was still 101.5, this morning I was 98.6. The course of the fever was 36 hours total


Changed on 12/24/2020

VAERS ID: 903075 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH H9899 / 1 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Myalgia, Pyrexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Covid tested 12/16/2020 and result was negative, nasal swab
CDC 'Split Type': vsafe

Write-up: 12/15/2020 I felt terrible with muscle aches, shivering, chills, fever was 102.8,I took tylenol and ibuprofen (alternated) 24 hours after initial fever I ceased meds and fever was still 101.5, this morning I was 98.6. The course of the fever was 36 hours total


Changed on 12/30/2020

VAERS ID: 903075 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH H9899 / 1 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Myalgia, Pyrexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Covid tested 12/16/2020 and result was negative, nasal swab
CDC 'Split Type': vsafe

Write-up: 12/15/2020 I felt terrible with muscle aches, shivering, chills, fever was 102.8,I took tylenol and ibuprofen (alternated) 24 hours after initial fever I ceased meds and fever was still 101.5, this morning I was 98.6. The course of the fever was 36 hours total


Changed on 5/7/2021

VAERS ID: 903075 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH H9899 / 1 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Myalgia, Pyrexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Covid tested 12/16/2020 and result was negative, nasal swab
CDC 'Split Type': vsafe

Write-up: 12/15/2020 I felt terrible with muscle aches, shivering, chills, fever was 102.8,I took tylenol and ibuprofen (alternated) 24 hours after initial fever I ceased meds and fever was still 101.5, this morning I was 98.6. The course of the fever was 36 hours total


Changed on 5/21/2021

VAERS ID: 903075 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH H9899 / 1 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Myalgia, Pyrexia, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Covid tested 12/16/2020 and result was negative, nasal swab
CDC 'Split Type': vsafe

Write-up: 12/15/2020 I felt terrible with muscle aches, shivering, chills, fever was 102.8,I took tylenol and ibuprofen (alternated) 24 hours after initial fever I ceased meds and fever was still 101.5, this morning I was 98.6. The course of the fever was 36 hours total

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