VAERS ID: 902490

AGE: 37| SEX: F|STATE: NM (United States)

Description

Headache, body ache

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Headache, Pain

Vaccines

VAX DATE: 12-15-2020| ONSET DATE: 12-15-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EH9899 IM LA

RECVDATE:12-15-2020
RPT_DATE:
CAGE_YR:37
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:Benzoyl peroxide 10% gel, Biofreeze topical gel, Cyclobenzaprine 10mg tab, moisturizing cream, naproxen 250 mg tab, ondansetrn 4mg ODT tab, Refresh Tears
CUR_ILL:
HISTORY:acne, astigmatism, myopia
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-15-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKDA
V_FUNDBY:

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