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This is VAERS ID 1240263

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240263
VAERS Form:2
Age:64.0
Sex:Female
Location:Arizona
Vaccinated:2021-04-16
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Chills, Diarrhoea, Dyspnoea, Ear pain, Feeling jittery, Hypertension, Neck pain, Pain in extremity, Tremor

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: Yellow Fever-severe muscle pain and pain in mid-back, age 60, 2016; Prevnar-13-body aches, fever, diarrhea, age 62
Other Medications:
Current Illness:
Preexisting Conditions: Bronchiectasis
Allergies: Penicillen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Five days after receiving the Pfizer vaccine, I had a sudden onset of neck & shoulder pain on my left side, radiating up into my left ear & across my chest. My chest was tight. It hurt in my neck and shoulder and chest to take a deep breath. Shortly after, I felt jittery inside & started getting chills. The backs of my legs were quaking against the chair and I got really cold. My blood pressure went up to 149/78. I also had one bout of diarrhea.


Changed on 5/7/2021

VAERS ID: 1240263 Before After
VAERS Form:2
Age:64.0
Sex:Female
Location:Arizona
Vaccinated:2021-04-16
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Chills, Diarrhoea, Dyspnoea, Ear pain, Feeling jittery, Hypertension, Neck pain, Pain in extremity, Tremor

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: Yellow Fever-severe muscle pain and pain in mid-back, age 60, 2016; Prevnar-13-body aches, fever, diarrhea, age 62
Other Medications:
Current Illness:
Preexisting Conditions: Bronchiectasis
Allergies: Penicillen Penicillen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Five days after receiving the Pfizer vaccine, I had a sudden onset of neck & shoulder pain on my left side, radiating up into my left ear & across my chest. My chest was tight. It hurt in my neck and shoulder and chest to take a deep breath. Shortly after, I felt jittery inside & started getting chills. The backs of my legs were quaking against the chair and I got really cold. My blood pressure went up to 149/78. I also had one bout of diarrhea.


Changed on 5/14/2021

VAERS ID: 1240263 Before After
VAERS Form:2
Age:64.0
Sex:Female
Location:Arizona
Vaccinated:2021-04-16
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Chills, Diarrhoea, Dyspnoea, Ear pain, Feeling jittery, Hypertension, Neck pain, Pain in extremity, Tremor

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: Yellow Fever-severe muscle pain and pain in mid-back, age 60, 2016; Prevnar-13-body aches, fever, diarrhea, age 62
Other Medications:
Current Illness:
Preexisting Conditions: Bronchiectasis
Allergies: Penicillen Penicillen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Five days after receiving the Pfizer vaccine, I had a sudden onset of neck & shoulder pain on my left side, radiating up into my left ear & across my chest. My chest was tight. It hurt in my neck and shoulder and chest to take a deep breath. Shortly after, I felt jittery inside & started getting chills. The backs of my legs were quaking against the chair and I got really cold. My blood pressure went up to 149/78. I also had one bout of diarrhea.

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