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This is VAERS ID 1420457

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1420457
VAERS Form:2
Age:53.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-12
Onset:2021-01-12
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Heart rate decreased, Hyperhidrosis, Nausea, Presyncope, Mobility decreased, Oropharyngeal discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: yes to IV dye
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Anaphylaxis Narrative: After immunization felt nauseated and was diaphoretic, B/P 70/42, HR52, Fio2 100%, RR 12. IV 18g started left AC she appeared initially to be a vagal response. NS initiated and then she started complaining of throat issues and not being able to move arms. HR decreased to 40 and 1M epinepherine 0.3mg given left deltoid. Fluids NS rapid infused and 50mg of benadryl given IV. 02 at 10 1pm via none rebreather started. VS 126/67, 84, 20 100% 02 sat. Taken to the ER for further evaluation.

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