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This is VAERS ID 930341

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 930341
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2020-12-17
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Blood thyroid stimulating hormone, Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count, Guillain-Barre syndrome, Palpitations, Tachycardia, Ventricular extrasystoles, Computerised tomogram thorax, Metabolic function test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole, Klonopin, Wellbutrin, Humira
Current Illness: none
Preexisting Conditions: Ankylosing Spondylitis, Asthma, GERD, peptic ulcer disease, chronic gastritis, anxiety and depression
Allergies: none
Diagnostic Lab Data: 1/7 in ER: CT angiogram, Chest x-ray, CBC, CMP, thyroid panel, D-Dimer.
CDC 'Split Type':

Write-up: Heart palpitations, tachycardia, PVCs and shortness of breath, fatigue, weakness started on Monday (1/4), worsened over next 2 days. Saw primary doctor on 1/7 who called paramedics to take me to the ER due to EKG results and increased work of breathing. ER doctor suspects mild guillain-barre reaction, I will be following up with cardiology and pulmonology as soon as possible as they were unable to determine exact cause or fix the issues.


Changed on 5/7/2021

VAERS ID: 930341 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2020-12-17
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Blood thyroid stimulating hormone, Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count, Guillain-Barre syndrome, Palpitations, Tachycardia, Ventricular extrasystoles, Computerised tomogram thorax, Metabolic function test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole, Klonopin, Wellbutrin, Humira
Current Illness: none
Preexisting Conditions: Ankylosing Spondylitis, Asthma, GERD, peptic ulcer disease, chronic gastritis, anxiety and depression
Allergies: none none
Diagnostic Lab Data: 1/7 in ER: CT angiogram, Chest x-ray, CBC, CMP, thyroid panel, D-Dimer.
CDC 'Split Type':

Write-up: Heart palpitations, tachycardia, PVCs and shortness of breath, fatigue, weakness started on Monday (1/4), worsened over next 2 days. Saw primary doctor on 1/7 who called paramedics to take me to the ER due to EKG results and increased work of breathing. ER doctor suspects mild guillain-barre reaction, I will be following up with cardiology and pulmonology as soon as possible as they were unable to determine exact cause or fix the issues.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=930341&WAYBACKHISTORY=ON


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