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This is VAERS ID 1391808

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1391808
VAERS Form:2
Age:47.0
Sex:Female
Location:Idaho
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Headache, Pain in extremity, Pertussis

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DVT
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Arm pain, H/A, Whoozy Vital Signs: BP 155/90 HR 68 Resp 18 Skin Signs: Warm and dry Circulation: Cap Refill <2sec Respiratory: Breath sound clear bilaterally Initial Treatment: Sat in triage, drinking water 2:20 PM Vital Signs: BP 140/83 HR 61 Resp 12 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Observation 2:25 PM Vital Signs: BP 130/78 HR 60 Resp 10 O2Sat 96 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Notes: Sent home with father. Feeling better. Still arm pain. Will f/u if not continuing to improve.

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