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This is VAERS ID 903470

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903470
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-16
Onset:2020-12-16
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, Heart rate abnormal, Throat irritation, Eosinophil percentage

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: 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)


Changed on 12/30/2020

VAERS ID: 903470 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-16
Onset:2020-12-16
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, Heart rate abnormal, Throat irritation, Eosinophil percentage

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: 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 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&WAYBACKHISTORY=ON


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