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This is VAERS ID 906078

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906078
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Feeling hot, Headache, Hypertension, Tachycardia, Urticaria

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient developed sudden onset of headache with hypertension (BP 205/112), tachycardia (HR 137), redness and hives around 10 minutes after receiving the Pfizer covid vaccine (time 1600). She described "feeling a wave of heat climbing from her feet up to her face". 911 called and patient was transported to ER at around 1630. Upon arrival her BP trended down to 129/89 with HR of 78. She did not report difficulty breathing, and she did not receive additional medications while in ER. She was monitored for around 2 hours and discharged at 1847.


Changed on 5/7/2021

VAERS ID: 906078 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Feeling hot, Headache, Hypertension, Tachycardia, Urticaria

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient developed sudden onset of headache with hypertension (BP 205/112), tachycardia (HR 137), redness and hives around 10 minutes after receiving the Pfizer covid vaccine (time 1600). She described "feeling a wave of heat climbing from her feet up to her face". 911 called and patient was transported to ER at around 1630. Upon arrival her BP trended down to 129/89 with HR of 78. She did not report difficulty breathing, and she did not receive additional medications while in ER. She was monitored for around 2 hours and discharged at 1847.


Changed on 5/21/2021

VAERS ID: 906078 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Feeling hot, Headache, Hypertension, Tachycardia, Urticaria

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient developed sudden onset of headache with hypertension (BP 205/112), tachycardia (HR 137), redness and hives around 10 minutes after receiving the Pfizer covid vaccine (time 1600). She described "feeling a wave of heat climbing from her feet up to her face". 911 called and patient was transported to ER at around 1630. Upon arrival her BP trended down to 129/89 with HR of 78. She did not report difficulty breathing, and she did not receive additional medications while in ER. She was monitored for around 2 hours and discharged at 1847.

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