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This is VAERS ID 1464764

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1464764
VAERS Form:2
Age:28.0
Sex:Female
Location:New York
Vaccinated:2021-07-02
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure increased, Heart rate increased, Scalloped tongue

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: Yaz birth control
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Elevated heart rate and blood pressure going on 10 days. Blood pressure is 136/85. Heart rate is 103 resting, 153 after exercise. Scalloped tongue starting on 7/12. Tounge has never appeared this way prior to vaccine.

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