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This is VAERS ID 1371666

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371666
VAERS Form:2
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Oxygen saturation decreased, Retching, Throat tightness, Vaccine positive rechallenge

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: 1st pfizer dose similar reaction but did not need Epi
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: about 10 minutes after injection patient experienced throat tightening and gagging with slight decrease in O2 (95%), given epi 0.3mg IM and 50mg benadryl IM with improvement ~1min after, improved O2 to 97%, transported via 911 to ED for further management

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