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This is VAERS ID 1696786

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696786
VAERS Form:2
Age:65.0
Sex:Male
Location:Kansas
Vaccinated:2021-03-19
Onset:2021-09-13
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood creatinine increased, Blood glucose increased, Blood lactic acid decreased, Chest X-ray normal, Electrocardiogram abnormal, Feeling hot, Hyperhidrosis, Hypotension, Hypoxia, Loss of consciousness, Pyrexia, Sepsis, Tachycardia, Unresponsive to stimuli, Vomiting, Mental status changes, Central venous catheterisation, Computerised tomogram abdomen normal, Troponin, Coma scale, Computerised tomogram head normal, COVID-19, SARS-CoV-2 test positive

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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chief Complaint Pt via EMS found by wife in car after being in there for uknown length of time with windows fogged over and patient unconscious. Febrile en route and in triage. BG 215 en route. Diaphoretic . GCS 14. 500 ml fluids en route. History of Present Illness 65-year-old fully COVID-vaccinated (Pfizer in June) male who has presented to the ER this evening via EMS for altered mental status, fever, sepsis and COVID-19 illness. History is somewhat limited. Most of the history is obtained from EMS and the patient''s wife over the phone by the ER provider this evening. Patient has not been home very much over the last 4 to 5 days. Apparently the husband has been trying to avoid her due to her illness whi

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