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This is VAERS ID 1450153

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450153
VAERS Form:2
Age:15.0
Sex:Female
Location:Oregon
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram normal, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue, Fibrin D dimer, Full blood count, Leukocytosis, Nausea, Pleuritic pain, Pyrexia, Swelling face, Urticaria, Vomiting, 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: None
Current Illness: None
Preexisting Conditions: eczema
Allergies: None
Diagnostic Lab Data: ED visit on 7/1: D-dimer 603, troponin negative, CBC with leukocytosis, normal lipase, EKG with ST abnormality and inferior lead T wave inversions, normal CTA w/wo contrast. Office visit 7/6: EKG with resolved T wave inversions, repeat d-dimer, BNP and troponin sent (pending)
CDC 'Split Type':

Write-up: Patient developed fatigue 3 hrs post injection. The following day, developed fever to 103F, nausea and vomiting, dizziness and pleuritic chest pain, difficulty breathing. fever last for 2 days. Went to ED for evaluation on day 3 (7/1). Symptoms ultimately resolved, but then developed facial hives and facial swelling on day 5 post vaccine.

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