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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 903009 |
VAERS Form: | 2 |
Age: | |
Sex: | Female |
Location: | West Virginia |
Vaccinated: | 2020-12-17 |
Onset: | 2020-12-17 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | RA / IM |
Administered by: Work Purchased by: ??
Symptoms: Blood glucose normal, Chills, Cold sweat, Confusional state, Dizziness, Nausea, Visual impairment
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Heart arrhythmia medication.
Current Illness: no
Preexisting Conditions: Heart arrhythmia
Allergies: kna
Diagnostic Lab Data: Pulse ox : 97 blood sugar tested 90 after orange juice. BP130/80 p 127
CDC 'Split Type':
Write-up: Patient complained of vision disturbance confusion dizziness, chills, clammy, no trouble breathing. Nausea, Patient stated she did not have any breakfast. gave patient diphenhydramine 25 mg and EMS arrived to take her to the hospital.
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