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This is VAERS ID 902505

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/18/2020

VAERS ID: 902505
VAERS Form:2
Age:39.0
Sex:Female
Location:Kansas
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH GH9899 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Flushing, Palpitations, Paraesthesia, Skin warm, Ear discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt facial flushing, pounding in chest, burning and hot ears and blood pressure went up. Tingly in right arm and chest and hands. Symptoms resolved, after a few minutes but then returned. Patient sat with nurse during this reaction.

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