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VAERS ID: | 902925 |
VAERS Form: | 2 |
Age: | 35.0 |
Sex: | Female |
Location: | Texas |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Atelectasis, Chest pain, Chest X-ray abnormal, Dizziness, Electrocardiogram normal, Fatigue, Headache, Heart rate increased, Nausea, Pain, Pyrexia, Vomiting, Laboratory test normal, Computerised tomogram thorax normal, Lung hyperinflation
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Vitamin C, Vitamin D, Fish Oil, Singular 10 MG, Panelor 30mg, Maxalt 10mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Iodine
Diagnostic Lab Data: CT Chest -- normal, EKG -- normal, Lab test-- normal. Xray Chest results -- basilar atelectasis, Hyperinflation of lungs.
CDC 'Split Type':
Write-up: 02:45 PM walking , dizzy, rapid heart rate, mild chest pain. Directed to ER in hospital, CT Chest -- normal, EKG -- normal, Lab test-- normal. Xray Chest results -- basilar atelectasis, Hyperinflation of lungs. Blood pressure 171/109. No treatment given in ER -- f/u with PCP 12/18/20. 08:00PM nausea, headache, vomit 1x. 10:00PM fever 104.00; Tylenol extra strength dose. 12/17/20 6:00am temp 99.00, Tylenol dose extra strength; body aches, fatigue, mild headache.
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