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This is VAERS ID 1758760

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758760
VAERS Form:2
Age:90.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-25
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Diarrhoea, Pulmonary congestion, Chest wall mass, Vaccine breakthrough infection, 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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CAD, HTN, GERD, Hypothyroidism
Allergies: No Known
Diagnostic Lab Data: Covid + 10/03/2021
CDC 'Split Type':

Write-up: Breakthrough Covid + 10/3/2021. 90-year-old female with a past medical history significant for irregular heartbeat and osteoporosis presents today for further evaluation and treatment of diarrhea that started a couple days ago. Partially imaged hyperattenuating structure in the right posterolateral chest wall measuring up to 5 cm, which may represent a hematoma. Congestive changes in the lung bases.

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