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This is VAERS ID 903091

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903091
VAERS Form:2
Age:57.0
Sex:Female
Location:Nebraska
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia, Injection site swelling, Limb discomfort

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: Sometimes with the FLU vaccination would feel tired.
Other Medications: Thyroid,Vitamin D, Allergy, Multi Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin
Diagnostic Lab Data:
CDC 'Split Type': vsafe

Write-up: I noticed the injection site was sore, swollen and warm. As the day progressed headache, fatigue, joint, legs aching and feeling heavy tires. Also had a fever of 101.2.Around 9:30 pm on 12/16 started to feel better fever was down.


Changed on 12/24/2020

VAERS ID: 903091 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Nebraska
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia, Injection site swelling, Limb discomfort

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: Sometimes with the FLU vaccination would feel tired.
Other Medications: Thyroid,Vitamin D, Allergy, Multi Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type': vsafe

Write-up: I noticed the injection site was sore, swollen and warm. As the day progressed headache, fatigue, joint, legs aching and feeling heavy tires. Also had a fever of 101.2.Around 9:30 pm on 12/16 started to feel better fever was down.


Changed on 12/30/2020

VAERS ID: 903091 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Nebraska
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia, Injection site swelling, Limb discomfort

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: Sometimes with the FLU vaccination would feel tired.
Other Medications: Thyroid,Vitamin D, Allergy, Multi Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type': vsafe

Write-up: I noticed the injection site was sore, swollen and warm. As the day progressed headache, fatigue, joint, legs aching and feeling heavy tires. Also had a fever of 101.2.Around 9:30 pm on 12/16 started to feel better fever was down.


Changed on 5/7/2021

VAERS ID: 903091 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Nebraska
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia, Injection site swelling, Limb discomfort

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: Sometimes with the FLU vaccination would feel tired.
Other Medications: Thyroid,Vitamin D, Allergy, Multi Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type': vsafe

Write-up: I noticed the injection site was sore, swollen and warm. As the day progressed headache, fatigue, joint, legs aching and feeling heavy tires. Also had a fever of 101.2.Around 9:30 pm on 12/16 started to feel better fever was down.


Changed on 5/21/2021

VAERS ID: 903091 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Nebraska
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia, Injection site swelling, Limb discomfort

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: Sometimes with the FLU vaccination would feel tired.
Other Medications: Thyroid,Vitamin D, Allergy, Multi Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type': vsafe

Write-up: I noticed the injection site was sore, swollen and warm. As the day progressed headache, fatigue, joint, legs aching and feeling heavy tires. Also had a fever of 101.2.Around 9:30 pm on 12/16 started to feel better fever was down.

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