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This is VAERS ID 905996

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905996
VAERS Form:2
Age:51.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arrhythmia, Blood pressure increased, Chest discomfort, Chest X-ray, Dizziness, Electrocardiogram, Flushing, Headache, Heart rate increased, Peripheral coldness, Presyncope, Urticaria, Laboratory test, Troponin, Nasal discharge discolouration

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, Armour, Vit D3, Vit C, Vit B12, Zinc, Rx Ophtalamic steroid
Current Illness: chemical burn to eyes bilateral from cleaning solution
Preexisting Conditions: hypothryoidism
Allergies: PCN, sulfa drugs
Diagnostic Lab Data: 12/18/2020 CXR, EKG, Chemistry, Cardiac troponin
CDC 'Split Type':

Write-up: ~1 h 15 min after receiving experienced flushing, dizziness, near-fainting, arrhythmia, progressed rapidly to a rapid heart rate, elevated BP, hives, cool extremities, diaphoretic treatment: NS 1 liter, Benadryl 50 mg IV, Solumedrol 125 mg/ml discharged after 6 h with Rx for Epi Pen experienced dizziness/near-fainting episodes off/on for 3 days, slight headache, chest tightness, green/bloody nasal discharge for 2 days


Changed on 5/7/2021

VAERS ID: 905996 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arrhythmia, Blood pressure increased, Chest discomfort, Chest X-ray, Dizziness, Electrocardiogram, Flushing, Headache, Heart rate increased, Peripheral coldness, Presyncope, Urticaria, Laboratory test, Troponin, Nasal discharge discolouration

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, Armour, Vit D3, Vit C, Vit B12, Zinc, Rx Ophtalamic steroid
Current Illness: chemical burn to eyes bilateral from cleaning solution
Preexisting Conditions: hypothryoidism
Allergies: PCN, sulfa drugs drugs
Diagnostic Lab Data: 12/18/2020 CXR, EKG, Chemistry, Cardiac troponin
CDC 'Split Type':

Write-up: ~1 h 15 min after receiving experienced flushing, dizziness, near-fainting, arrhythmia, progressed rapidly to a rapid heart rate, elevated BP, hives, cool extremities, diaphoretic treatment: NS 1 liter, Benadryl 50 mg IV, Solumedrol 125 mg/ml discharged after 6 h with Rx for Epi Pen experienced dizziness/near-fainting episodes off/on for 3 days, slight headache, chest tightness, green/bloody nasal discharge for 2 days


Changed on 5/21/2021

VAERS ID: 905996 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arrhythmia, Blood pressure increased, Chest discomfort, Chest X-ray, Dizziness, Electrocardiogram, Flushing, Headache, Heart rate increased, Peripheral coldness, Presyncope, Urticaria, Laboratory test, Troponin, Nasal discharge discolouration

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, Armour, Vit D3, Vit C, Vit B12, Zinc, Rx Ophtalamic steroid
Current Illness: chemical burn to eyes bilateral from cleaning solution
Preexisting Conditions: hypothryoidism
Allergies: PCN, sulfa drugs drugs
Diagnostic Lab Data: 12/18/2020 CXR, EKG, Chemistry, Cardiac troponin
CDC 'Split Type':

Write-up: ~1 h 15 min after receiving experienced flushing, dizziness, near-fainting, arrhythmia, progressed rapidly to a rapid heart rate, elevated BP, hives, cool extremities, diaphoretic treatment: NS 1 liter, Benadryl 50 mg IV, Solumedrol 125 mg/ml discharged after 6 h with Rx for Epi Pen experienced dizziness/near-fainting episodes off/on for 3 days, slight headache, chest tightness, green/bloody nasal discharge for 2 days

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