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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902746 |
VAERS Form: | 2 |
Age: | 37.0 |
Sex: | Female |
Location: | Florida |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9989 / 1 | LA / IM |
Administered by: Pharmacy Purchased by: ??
Symptoms: Hyperhidrosis, Hypotension, Pallor
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Escitalopram 10 mg po daily
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: No known allergies
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Following first dose, patient became hypotensive, pale, and diaphoretic. Denies syncope. Patient went to nearby emergency department at Hospital. Was monitored for several hours and was discharged in stable condition.
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