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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0191 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Electrocardiogram normal, Full blood count normal, Injection site haemorrhage, Loss of consciousness, Syncope, Urine analysis normal, Immediate post-injection reaction
Life Threatening? Yes
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Other Medications: none
Current Illness: None
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC with diff on 6/2/21 at the hospital - normal UA at the hospital normal except for trace of blood in urine( patient on her period) on 6/2/21 12 Lead EKG at the hospital 6/2/21- WNL
CDC 'Split Type':
Write-up: excessive bleeding immediately the needle was withdrawn. then 9 hrs later when the bandage was being removed patient fainted for 5 mins associated with LOC.
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