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This is VAERS ID 1474570

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474570
VAERS Form:2
Age:50.0
Sex:Female
Location:New York
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cyanosis, Injection site pain, Peripheral coldness, Peripheral swelling, Injection site swelling

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Internal Baclofen Pump, Zofran, Flexeril, Amlodipine, Hydrocodone Acetaminophen, Fluorouracil, CBD gummy, Albuterol. Levalbuterol, Atrovent, Fiberon, Nasacort, Folic Acid, Voltaren, Vitamin B & D, Biofreeze, Lidocaine Patch, Multivitamin
Current Illness: Pancreatitis, Bell''s Palsy
Preexisting Conditions: Cerebral Palsy, Asthma, Hypertension
Allergies: Aspirin and Shellfish (anaphylaxis), Penicillin (rash)
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 50-year-old female while in observation presented with c/o localized burning and swelling on the left arm at the site of injection approximately 5-10 minutes after receiving the first dose of Pfizer. EMS was alerted and patient was then evaluated and observed. Patient''s left upper arm continued to swell to her hand and fingers which then progressed to a bluish tint and feel cold to the touch. Patient was recommended to be transported and evaluated further Hospital. Initial Vitals: HR- 74; BP- 183/105; O2 Sat- 98%; RR 22; Discharge Vitals: HR-75; BP- 142/88; O2 Sat-96%; RR-16

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474570&WAYBACKHISTORY=ON


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