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This is VAERS ID 904012

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 904012
VAERS Form:2
Age:51.0
Sex:Female
Location:Florida
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Facial pain, Facial asymmetry

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Latex Sensitive
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Around 0300, I was awakened abruptly by a sharp pain in my Right TMJ region. This happened 2 times. It felt worse than a dentist shot. Around 0430, I went to the restroom and notice my right nasolabial fold is less prominent than my left nasolabial fold.


Changed on 12/30/2020

VAERS ID: 904012 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Florida
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Facial pain, Facial asymmetry

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Latex Sensitive Sensitive
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Around 0300, I was awakened abruptly by a sharp pain in my Right TMJ region. This happened 2 times. It felt worse than a dentist shot. Around 0430, I went to the restroom and notice my right nasolabial fold is less prominent than my left nasolabial fold.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=904012&WAYBACKHISTORY=ON


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