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VAERS ID: 1110312

AGE: 17| SEX: M|State: OK

Description

Doni had a Headache and Stomach Ache the following day after the Shot. He felt Sick all day, stayed in Bed all day. Gave him Tylenol at 8:00 am and again at 2:00 pm. He felt better the later that night.

Symptoms

Abdominal pain upper, Headache, Malaise

Vaccines

VAX DATE: 15 March 2021 | ONSET DATE: 16 March 2021 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • SYR
  • LA

RECVDATE:17 March 2021
CAGE_YR:17
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:
V_ADMINBY:UNK
OTHER_MEDS:None
CUR_ILL:None
HISTORY:Asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:17 March 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:None
V_FUNDBY:
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