VAERS ID: 902759

AGE: 44| SEX: F|STATE: IN (United States)

Description

Fever , chills, Body Ache all over body, Joint Pain (worse in hips ) Injection site swollen The PT cannot life her arm

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Symptoms

Arthralgia, Chills, Injected limb mobility decreased, Injection site swelling, Pain, Pyrexia

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 IM LA

RECVDATE:12-16-2020
RPT_DATE:
CAGE_YR:44
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:None
V_ADMINBY:PVT
OTHER_MEDS:Protein Shake whey, Hair, skin and nail Vitamins
CUR_ILL:Fever and chills, but was not diagnosed with a illness
HISTORY:Chiari malformation , Inflammatory bowel disease.
PRIOR_VAX:
SPLTTYPE:vsafe
FORM_VERS:2
TODAYS_DATE:12-16-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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