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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902778 |
VAERS Form: | 2 |
Age: | 56.0 |
Sex: | Female |
Location: | Texas |
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 | EH789592671001 / 1 | LA / IM |
Administered by: Work Purchased by: ??
Symptoms: Blood pressure increased, Headache, Injection site swelling, Immediate post-injection reaction, Injection site hypoaesthesia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: metformin, glipizide, atorvastatin, ozempic, singulair, xopanex inhaler, xopenax nebulizer, epipen, flonase, pepcid AC, levothyroxine
Current Illness: radiation
Preexisting Conditions: Asthma, Diabetes, Capillary thyroid cancer (remission)
Allergies: shrimp, shellfish
Diagnostic Lab Data: No
CDC 'Split Type': vsafe
Write-up: Swelling and numbness at injection side. Increased blood pressure 199/99. Immediate headache. Workplace clinic called hospital ER, clinic administered Benadryl. Symptoms resolved.
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