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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902902 |
VAERS Form: | 2 |
Age: | 29.0 |
Sex: | Female |
Location: | Michigan |
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 | EH9899 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Dizziness, Pruritus, Tachycardia, Urticaria
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: vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: Rocephin
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Patient presented with feeling of "headrush" dizziness, tachycardia to 130''s, itching to neck, visible hives to face and neck.
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