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This is VAERS ID 1009883

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1009883
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2021-02-03
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Body temperature increased, Dehydration, Diarrhoea, Full blood count, Injection site pain, Muscle spasms, Nausea, Petechiae, Metabolic function test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Trulicity, Xigduo, Qsymia, BC 28, Low Dose Aspirin
Current Illness: None
Preexisting Conditions: Controlled DM2
Allergies: None
Diagnostic Lab Data: CBC with differential BMP
CDC 'Split Type':

Write-up: Severe stomach cramping and diarrhea: Began at 4:30 pm 02.03.2021 - 02.07.2021 required hospital ER visit for iv fluids to treat stomach pain, nausea and dehydration from diarrhea. Sent home with prescription for Dicyclomine 20 mg tablet anti spasm medication. Petechiae on back of both hands, wrists and fingers: Began at 4:15 pm 02.05.2021 required hospital ER visit for multiple blood testing to evaluate platelets, etc. Testing clear and ER Dr. noted condition is associated with vaccination reaction and advised to closely monitor for any change and seek immediate return if continued progression and if so follow-up with hematologist. Foot cramps: Began overnight 02.04.2021, increased fluids and subsided. 99.8 Temperature: Began 02.04.2021 at 9:30 pm - to 11:30 pm and treated with extra strength Tylenol and subsided. Began 02.03.2021 at 10:30 pm -11:30 pm and treated with extra strength Tylenol and subsided. Soreness at injection site: Began 02.04.2021 ongoing treating with extra strength Tylenol.


Changed on 5/21/2021

VAERS ID: 1009883 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2021-02-03
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Body temperature increased, Dehydration, Diarrhoea, Full blood count, Injection site pain, Muscle spasms, Nausea, Petechiae, Metabolic function test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Trulicity, Xigduo, Qsymia, BC 28, Low Dose Aspirin
Current Illness: None
Preexisting Conditions: Controlled DM2
Allergies: None None
Diagnostic Lab Data: CBC with differential BMP
CDC 'Split Type':

Write-up: Severe stomach cramping and diarrhea: Began at 4:30 pm 02.03.2021 - 02.07.2021 required hospital ER visit for iv fluids to treat stomach pain, nausea and dehydration from diarrhea. Sent home with prescription for Dicyclomine 20 mg tablet anti spasm medication. Petechiae on back of both hands, wrists and fingers: Began at 4:15 pm 02.05.2021 required hospital ER visit for multiple blood testing to evaluate platelets, etc. Testing clear and ER Dr. noted condition is associated with vaccination reaction and advised to closely monitor for any change and seek immediate return if continued progression and if so follow-up with hematologist. Foot cramps: Began overnight 02.04.2021, increased fluids and subsided. 99.8 Temperature: Began 02.04.2021 at 9:30 pm - to 11:30 pm and treated with extra strength Tylenol and subsided. Began 02.03.2021 at 10:30 pm -11:30 pm and treated with extra strength Tylenol and subsided. Soreness at injection site: Began 02.04.2021 ongoing treating with extra strength Tylenol.

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