This is VAERS ID 909379

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EL0140 / 1	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Hypotension, Nausea, Presyncope, Tachycardia, Vomiting, Cardiac monitoring, Computerised tomogram thorax, Computerised tomogram abdomen, Laboratory test, Computerised tomogram pelvis

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? Yes, days: 1
    Extended hospital stay? No
Previous Vaccinations: mild near syncope at age 18 (2010) after Gardasil dose
Other Medications: bupropion PO 300mg daily fexofenadine PO 180mg daily Mirena IUD
Current Illness:
Preexisting Conditions:
Allergies: sulfa drugs, mango skin
Diagnostic Lab Data: 12/23/20 emergency department lab workup, chest x-ray, chest/abd/pelvis CT scan, EKG x3, inpatient hospital labs, cardiac monitoring
CDC 'Split Type':

Write-up: near syncope, hypotension, nausea/vomiting, tachycardia (120-150) within 5 minutes of administration. did not resolve and worsened within 1 hour. Pt went to ER for workups. Received IV benadryl without improvement. Admitted to hospital overnight for continuous cardiac monitoring. Improved overnight and discharged in the afternoon 12/24/20.

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