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This is VAERS ID 907181

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907181
VAERS Form:2
Age:17.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-21
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Hypoaesthesia, Pain in extremity, Paraesthesia, 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: Birth Control
Current Illness: Streptococcus
Preexisting Conditions: Obesity
Allergies: perfumes and soaps
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Extreme arm pain alternating with numbness and tingling, joint pain in shoulder, elbow, and wrist, chills, low grade fever (100.5), fatigue


Changed on 5/7/2021

VAERS ID: 907181 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-21
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Hypoaesthesia, Pain in extremity, Paraesthesia, 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: Birth Control
Current Illness: Streptococcus
Preexisting Conditions: Obesity
Allergies: perfumes and soaps soaps
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Extreme arm pain alternating with numbness and tingling, joint pain in shoulder, elbow, and wrist, chills, low grade fever (100.5), fatigue


Changed on 5/14/2021

VAERS ID: 907181 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-21
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Hypoaesthesia, Pain in extremity, Paraesthesia, 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: Birth Control
Current Illness: Streptococcus
Preexisting Conditions: Obesity
Allergies: perfumes and soaps soaps
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Extreme arm pain alternating with numbness and tingling, joint pain in shoulder, elbow, and wrist, chills, low grade fever (100.5), fatigue

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=907181&WAYBACKHISTORY=ON


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