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This is VAERS ID 1378254

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378254
VAERS Form:2
Age:52.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chest discomfort, Chest X-ray normal, Dizziness, Full blood count, Laboratory test normal, Troponin normal

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Past medical hx includes stroke (during pregnancy), pre-eclampsia, Dysphagia, Diverticulosis, Diverticulitis, Chronic Diarrhea, abnormal Pap Smear. Past surgical hx hysterectomy, appendectomy.
Allergies: Pt w/ hx of allergy to ammonia (anaphylaxis, SOB), Pollen Extracts (anaphylaxis), Iodinated Contrast Media (Rash), Bleach (SOB - Subjective SOB if smell cleaning products).
Diagnostic Lab Data: In ED, Troponin Negative x1, Panel 7 WNL, Hemogram w/ diff WNL, Chest XR unremarkable.
CDC 'Split Type':

Write-up: Pt and pt''s daughter were in triage area, post-vaccination (1st dose PFIZER), c/o dizziness and non-radiating chest pressure located in midsection of chest, at approximately 7:50PM. On-site NP and clinic lead notified. Pt denied experiencing SOB or any other new/abnormal sx. Pt denied hx of smoking or taking BP meds. Pt was offered and given water. V/S @ 750PM: BP - 150/102, HR - 86, O2 - 98% V/S @ 758PM: BP - 167/106, HR - 90, O2 - 99% V/S @ 800PM: BP - 160/102, HR - 90, O2% - 99% Continued to monitor pt. Pt denied experiencing improvement to sxs. V/S @ 810PM: BP - 155/95, HR - 97 Pt denied experiencing any improvement to sxs. ED precautions given. Pt was encouraged to see ED. Pt agreed and requested to be transferred to ED via w/c. Pt was accompanied by NP, RN, and pt''s daughter to ED. Report given to ED nurse.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378254&WAYBACKHISTORY=ON


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