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From the 4/30/2021 release of VAERS data:

This is VAERS ID 903470



Case Details

VAERS ID: 903470 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure abnormal, Dizziness, Electrocardiogram normal, Eosinophil percentage, Heart rate abnormal, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, protonix, vitamin, calcium, carafate
Current Illness:
Preexisting Conditions: hypothyroidism, GERD, acoustic neuroma (2002), trigger finger, vitamin d deficiency, arthritis, hypercholesterolemia
Allergies: penicillins (hives) - pt states tolerates cephalosporin
Diagnostic Lab Data: EKG unremarkable, percent eosinophils: 2.2 (12/16, 18:37)
CDC Split Type:

Write-up: lightheaded; "funny feeling" in throat; systolic BP in the 80''s; given famotidine and loratadine @ 12/16 (2 hrs later); pressure and heart rate improved greatly (3.5 hrs later)


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903470


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