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This is VAERS ID 903095

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903095
VAERS Form:2
Age:52.0
Sex:Female
Location:Oklahoma
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline.


Changed on 12/24/2020

VAERS ID: 903095 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Oklahoma
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline.


Changed on 12/30/2020

VAERS ID: 903095 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Oklahoma
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline.


Changed on 5/7/2021

VAERS ID: 903095 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Oklahoma
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline.


Changed on 5/21/2021

VAERS ID: 903095 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Oklahoma
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline.

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