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This is VAERS ID 1443123

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1443123
VAERS Form:2
Age:95.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-17
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Asthenia, Body temperature increased, Chills, Diarrhoea, Malaise, Pain, COVID-19, SARS-CoV-2 test positive

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 6/29: SARS-CoV2 Rapid Antigen Positive * (A) 6/29: SARS-CoV-2 RNA Positive * (A)
CDC 'Split Type':

Write-up: 6/29/21: 2 days of diffuse generalized abdominal pain, nonbloody diarrhea, increased general malaise and weakness. Patient feels chills but no measured fever at home. 7/1: Temp in ED 38.5. She uses 4L of O2 at night baseline but since her COVID Dx has been using 3L in the day as well. admitted to hospital 7/1/21.

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