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This is VAERS ID 1490039

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490039
VAERS Form:2
Age:85.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-24
Onset:2021-07-08
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Acute respiratory failure, Chest X-ray, Condition aggravated, Dyspnoea, Productive cough

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL EXTRA STRENGTH) 500 mg tablet albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler allopurinoL (ZYLOPRIM) 100 mg tablet amLODIPine (NORVASC) 10 mg tablet aspirin 81 m
Current Illness: suspected liver cirrhosis.
Preexisting Conditions: Nervous Coronary artery disease involving native coronary artery of native heart with angina pectoris (CMS/HCC) Osteoarthritis of thoracic spine with myelopathy Benzodiazepine dependence, episodic (CMS/HCC) Precordial chest pain Respiratory Chronic obstructive pulmonary disease (CMS/HCC) Cough Multifocal pneumonia Acute respiratory failure with hypoxia (CMS/HCC) Circulatory Aortic stenosis Essential hypertension External hemorrhoids ACS (acute coronary syndrome) (CMS/HCC) Congestive heart failure, unspecified HF chronicity, unspecified heart failure type (CMS/HCC) Digestive Gastroesophageal reflux disease Vitamin D deficiency BMI 40.0-44.9, adult (CMS/HCC) Genitourinary Type 2 diabetes mellitus with stage 4 chronic kidney disease, with long-term current use of insulin (CMS/HCC) Chronic kidney disease (CKD), stage III (moderate) (CMS/HCC) Infective urethritis Renal dysfunction Urinary tract infection without hematuria, site unspecified Musculoskeletal Arthritis Cellulitis of finger of right hand Abscess of right ring finger Endocrine/Metabolic Mixed hyperlipidemia Hypothyroidism Infectious/Inflammatory COVID-19 Immune Sjogren''s syndrome (CMS/HCC)
Allergies: Hydrocodone-acetaminophenIndigestion / GI upset Iodinated Contrast MediaOther (document details in comments), Anaphylaxis IodineOther (document details in comments) Iodine Containing MultivitaminAnaphylaxis LisinoprilCoughing MeperidineNausea and Vomiting, Other (document details in comments) MorphineIndigestion / GI upset PenicillinsItching Propoxyphene N-acetaminophenNausea and Vomiting Sulfa (Sulfonamide Antibiotics)Itching PropoxypheneNausea And Vomiting Tramadol HydromorphoneOther (document details in comments)
Diagnostic Lab Data: Chest X-ray
CDC 'Split Type':

Write-up: Acute respiratory failure with hypoxia wet cough Shortness of breath

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