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This is VAERS ID 1376409

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376409
VAERS Form:2
Age:53.0
Sex:Female
Location:Washington
Vaccinated:2021-05-11
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray, Computerised tomogram abnormal, Full blood count, Pulmonary embolism, Ultrasound Doppler, Metabolic function test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Buproprion, Vitamin B12, Escitalopram, Ferrous Gluconate
Current Illness:
Preexisting Conditions: headache, sleep apnea, depression
Allergies:
Diagnostic Lab Data: CT-PE, lower extremity duplex ultrasound, chest radiograph, CBC, BMP, Coagulation studies
CDC 'Split Type':

Write-up: Submassive Pulmonary Embolism

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