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This is VAERS ID 903004

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903004
VAERS Form:2
Age:29.0
Sex:Male
Location:New Hampshire
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Feeling hot, Hyperhidrosis

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? No
Previous Vaccinations:
Other Medications: Hydroxyzine, omeprazole
Current Illness: no
Preexisting Conditions: Sleep apnea, GERD
Allergies: amoxicillin, questioning rather I am allergic to latex, it has not been confirmed.
Diagnostic Lab Data: Workup was completed in ER.
CDC 'Split Type': vsafe

Write-up: 17 minutes after vaccine, suddenly had a , crushing squeezing chest pain, very severe lasted 45 seconds. after 45 seconds continue to have moderate chest pain, light headiness, diaphoretic, very hot. NO fever, elevated BP. Mild to moderate chest and light headiness for about 3-4 hours and it self solved.


Changed on 12/24/2020

VAERS ID: 903004 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:New Hampshire
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Feeling hot, Hyperhidrosis

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? No
Previous Vaccinations:
Other Medications: Hydroxyzine, omeprazole
Current Illness: no
Preexisting Conditions: Sleep apnea, GERD
Allergies: amoxicillin, questioning rather I am allergic to latex, it has not been confirmed. confirmed.
Diagnostic Lab Data: Workup was completed in ER.
CDC 'Split Type': vsafe

Write-up: 17 minutes after vaccine, suddenly had a , crushing squeezing chest pain, very severe lasted 45 seconds. after 45 seconds continue to have moderate chest pain, light headiness, diaphoretic, very hot. NO fever, elevated BP. Mild to moderate chest and light headiness for about 3-4 hours and it self solved.


Changed on 12/30/2020

VAERS ID: 903004 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:New Hampshire
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Feeling hot, Hyperhidrosis

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? No
Previous Vaccinations:
Other Medications: Hydroxyzine, omeprazole
Current Illness: no
Preexisting Conditions: Sleep apnea, GERD
Allergies: amoxicillin, questioning rather I am allergic to latex, it has not been confirmed. confirmed.
Diagnostic Lab Data: Workup was completed in ER.
CDC 'Split Type': vsafe

Write-up: 17 minutes after vaccine, suddenly had a , crushing squeezing chest pain, very severe lasted 45 seconds. after 45 seconds continue to have moderate chest pain, light headiness, diaphoretic, very hot. NO fever, elevated BP. Mild to moderate chest and light headiness for about 3-4 hours and it self solved.


Changed on 5/7/2021

VAERS ID: 903004 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:New Hampshire
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Feeling hot, Hyperhidrosis

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? No
Previous Vaccinations:
Other Medications: Hydroxyzine, omeprazole
Current Illness: no
Preexisting Conditions: Sleep apnea, GERD
Allergies: amoxicillin, questioning rather I am allergic to latex, it has not been confirmed. confirmed.
Diagnostic Lab Data: Workup was completed in ER.
CDC 'Split Type': vsafe

Write-up: 17 minutes after vaccine, suddenly had a , crushing squeezing chest pain, very severe lasted 45 seconds. after 45 seconds continue to have moderate chest pain, light headiness, diaphoretic, very hot. NO fever, elevated BP. Mild to moderate chest and light headiness for about 3-4 hours and it self solved.


Changed on 5/21/2021

VAERS ID: 903004 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:New Hampshire
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Feeling hot, Hyperhidrosis

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? No
Previous Vaccinations:
Other Medications: Hydroxyzine, omeprazole
Current Illness: no
Preexisting Conditions: Sleep apnea, GERD
Allergies: amoxicillin, questioning rather I am allergic to latex, it has not been confirmed. confirmed.
Diagnostic Lab Data: Workup was completed in ER.
CDC 'Split Type': vsafe

Write-up: 17 minutes after vaccine, suddenly had a , crushing squeezing chest pain, very severe lasted 45 seconds. after 45 seconds continue to have moderate chest pain, light headiness, diaphoretic, very hot. NO fever, elevated BP. Mild to moderate chest and light headiness for about 3-4 hours and it self solved.

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