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This is VAERS ID 1022516

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1022516
VAERS Form:2
Age:46.0
Sex:Male
Location:New Hampshire
Vaccinated:2021-01-18
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Cough, Dyspnoea, Pulmonary embolism, Blood test normal, SARS-CoV-2 test negative

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: pantoprazole sodium, atorvastatin calcium, fish oil, krill oil, vitamin d, vitamin b-12, fluticisone proprionate
Current Illness: none
Preexisting Conditions: elevated cholesterol, seasonal allergies
Allergies: none
Diagnostic Lab Data: 2/7/2021- admitted to ER with wheezing, coughing and severe shortness of breath, SARS-CoV2 PCR with negative results, portable chest x-ray showing lungs clear and no acute cardio-pulmonary disease. Cat scan of chest showed a pulmonary embolism in the anterior basal segment of the right lower lobe, right heart strain. blood tests were mostly in range results.
CDC 'Split Type':

Write-up: experienced significant shortness of breath, heavy wheezing, and coughing on the weekend of 2/6/2021. Slight wheezing had been ongoing for months (difficulty breathing in January of 2020 when diagnosed with influenza A and intermittent slight wheezing continued throughout the year). Symptoms became worse throughout the weekend. I did continue my normal routine (taking trash to the dump, helped move a heavy tank out of a walkout basement, and moving twelve 40 pound bags of wood pellets from store into truck then from truck into my home on day of hospitalization) Hospitalized on 2/7/2021


Changed on 5/7/2021

VAERS ID: 1022516 Before After
VAERS Form:2
Age:46.0
Sex:Male
Location:New Hampshire
Vaccinated:2021-01-18
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Cough, Dyspnoea, Pulmonary embolism, Blood test normal, SARS-CoV-2 test negative

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: pantoprazole sodium, atorvastatin calcium, fish oil, krill oil, vitamin d, vitamin b-12, fluticisone proprionate
Current Illness: none
Preexisting Conditions: elevated cholesterol, seasonal allergies
Allergies: none none
Diagnostic Lab Data: 2/7/2021- admitted to ER with wheezing, coughing and severe shortness of breath, SARS-CoV2 PCR with negative results, portable chest x-ray showing lungs clear and no acute cardio-pulmonary disease. Cat scan of chest showed a pulmonary embolism in the anterior basal segment of the right lower lobe, right heart strain. blood tests were mostly in range results.
CDC 'Split Type':

Write-up: experienced significant shortness of breath, heavy wheezing, and coughing on the weekend of 2/6/2021. Slight wheezing had been ongoing for months (difficulty breathing in January of 2020 when diagnosed with influenza A and intermittent slight wheezing continued throughout the year). Symptoms became worse throughout the weekend. I did continue my normal routine (taking trash to the dump, helped move a heavy tank out of a walkout basement, and moving twelve 40 pound bags of wood pellets from store into truck then from truck into my home on day of hospitalization) Hospitalized on 2/7/2021


Changed on 5/21/2021

VAERS ID: 1022516 Before After
VAERS Form:2
Age:46.0
Sex:Male
Location:New Hampshire
Vaccinated:2021-01-18
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Cough, Dyspnoea, Pulmonary embolism, Blood test normal, SARS-CoV-2 test negative

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: pantoprazole sodium, atorvastatin calcium, fish oil, krill oil, vitamin d, vitamin b-12, fluticisone proprionate
Current Illness: none
Preexisting Conditions: elevated cholesterol, seasonal allergies
Allergies: none none
Diagnostic Lab Data: 2/7/2021- admitted to ER with wheezing, coughing and severe shortness of breath, SARS-CoV2 PCR with negative results, portable chest x-ray showing lungs clear and no acute cardio-pulmonary disease. Cat scan of chest showed a pulmonary embolism in the anterior basal segment of the right lower lobe, right heart strain. blood tests were mostly in range results.
CDC 'Split Type':

Write-up: experienced significant shortness of breath, heavy wheezing, and coughing on the weekend of 2/6/2021. Slight wheezing had been ongoing for months (difficulty breathing in January of 2020 when diagnosed with influenza A and intermittent slight wheezing continued throughout the year). Symptoms became worse throughout the weekend. I did continue my normal routine (taking trash to the dump, helped move a heavy tank out of a walkout basement, and moving twelve 40 pound bags of wood pellets from store into truck then from truck into my home on day of hospitalization) Hospitalized on 2/7/2021

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