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This is VAERS ID 1330467

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330467
VAERS Form:2
Age:32.0
Sex:Female
Location:California
Vaccinated:2021-05-01
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Echocardiogram, Ischaemic stroke, Magnetic resonance imaging

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, Zyrtec, voltarn gel, vitamin D, allegra, ketotifen, rifaximin
Current Illness: n/a
Preexisting Conditions: MCAS, asthma, undifferentiated connective tissue disease
Allergies: cats, corn, cromolyn, dogs, iodine, nuts, orange, peanuts, soy, walnuts
Diagnostic Lab Data: had MRI, CT, TTE at hospital on 05/02-05/03,
CDC 'Split Type':

Write-up: patient experienced ischemic stroke next day

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330467&WAYBACKHISTORY=ON


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