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This is VAERS ID 1317357

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1317357
VAERS Form:2
Age:77.0
Sex:Female
Location:Wyoming
Vaccinated:2021-02-18
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN9581 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pneumonia, COVID-19

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norco 5/325mg tabs, Albuterol MDI, apixiban 5mg BID, Probiotic daily, Vitamin D 5,000 units daily, duloxetine 90mg daily, escitalopram 10mg daily, Advair 1 puff BID, furosemide 80mg daily, gabapentin 1200mg BID, levothyroxine 88mcg daily, l
Current Illness: None recorded
Preexisting Conditions: Atrial fibrillation, cardiac pacemaker, COPD, Diastolic heart failure, hyperlipidemia, hypothyroidism, obstructive sleep apnea
Allergies: Codeine, lisinopril, pregabalin, simvastatin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pneumonia s/p Covid-19 resulting in hospitalization

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