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This is VAERS ID 1750417

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1750417
VAERS Form:2
Age:73.0
Sex:Female
Location:Hawaii
Vaccinated:2021-09-29
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 3 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood bilirubin increased, Blood chloride decreased, Blood lactic acid, Blood potassium decreased, Blood sodium normal, Blood urea increased, Carbon dioxide decreased, Haemoglobin decreased, Hypotension, Lactic acidosis, Leukocytosis, Nausea, Platelet count decreased, White blood cell count increased, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Liver function test increased

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin 81mg PO QD Atorvastatin 80mg PO QD Epoietin 50mcg IV Q4 weeks Furosemide 80mg PO BID Gabapentin 300mg PO BID Sevelamer 1600mg PO TID Nephrovite 1 tab PO QD
Current Illness: COVID infection (Symptom onset 8/27/21)
Preexisting Conditions: HTN HLD DM2 ESRD on HD Anemia Secondary hyperparathyroidism
Allergies: None
Diagnostic Lab Data: 9/30/21 Hb: 10.8 WBC: 27.8 (10% bands, 82% neutrophils, 3% lymphocytes) Platelet: 95 Na: 138 K: 2.9 Cl: 96 CO2: 21 BUN: 55 AST: 933 ALT: 774 Alk Phos: 232 T-bili: 2.4 Lactate: 6.8
CDC 'Split Type':

Write-up: Adverse events: Hypotension, Lactic acidosis, Leukocytosis, Elevated LFTs Symptoms: Weakness, nausea Treatment: Vancomycin, Zosyn, Pressors

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