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This is VAERS ID 915613

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 1/7/2021

VAERS ID: 915613
VAERS Form:2
Age:33.0
Sex:Male
Location:Illinois
Vaccinated:2020-12-17
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-31
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ685 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Angioedema, Blood glucose increased, Hyperglycaemia

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)? No
Hospitalized? Yes, days: 1
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: angiodema. hospitalized overnight. During the hospitalization pt was started on an epi gtt and given MTP 125 mg. He had subsequent hyperglycemia, and increased his rate on his insulin pump to 2 U/hr (from 0.83 U/hr). Pt then decreased his rate to 1.4 U/hr while on the epi gtt, and then to 1.1 U/hr when off of the epi gtt. He also strengthened his carb ratio from 1:12 to 1:10 last night.Pt reports he had postprandial hyperglycemia overnight after his meal, but then BG corrected overnight. Pt reports fasting this morning is in the 110s. This morning''s breakfast on 1:10 CR with well controlled BG.

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