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This is VAERS ID 903115

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903115
VAERS Form:2
Age:35.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-16
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: Unknown      Purchased by: ??
Symptoms: Chills, Pain, Pyrexia

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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.


Changed on 12/24/2020

VAERS ID: 903115 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-16
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: Unknown      Purchased by: ??
Symptoms: Chills, Pain, Pyrexia

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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.


Changed on 12/30/2020

VAERS ID: 903115 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-16
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: Unknown      Purchased by: ??
Symptoms: Chills, Pain, Pyrexia

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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.


Changed on 5/7/2021

VAERS ID: 903115 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-16
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: Unknown      Purchased by: ??
Symptoms: Chills, Pain, Pyrexia

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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.


Changed on 5/21/2021

VAERS ID: 903115 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-16
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: Unknown      Purchased by: ??
Symptoms: Chills, Pain, Pyrexia

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: Paxil 40 mg qd Ambien 10 mg qhs prn
Current Illness: Cold
Preexisting Conditions: Anxiety
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, severe body aches, severe chills, still have symptoms this morning although less severe.

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