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This is VAERS ID 1696602

History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696602
VAERS Form:2
Age:78.0
Sex:Female
Location:Virginia
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Dyspnoea, Immediate post-injection reaction

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: unknown
Current Illness: unknown
Preexisting Conditions: low kidney function
Allergies: pcn, codeine
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Immediately after receiving the vaccine, the patient had trouble breathing and chest tightness. We administered an EpiPen and the patient began to feel better within minutes. EMS was called and took the patient to the hospital in stable condition

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1696602&WAYBACKHISTORY=ON

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