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This is VAERS ID 1758907

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758907
VAERS Form:2
Age:60.0
Sex:Female
Location:Virginia
Vaccinated:2021-10-01
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 EW0183 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Asthenopia, Chest pain, Dehydration, Diarrhoea, Head discomfort, Headache, Palpitations, Pyrexia, Vomiting, Blood test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: tetanus 2010 , age 50, extreme flu symptoms, high temperature, 2 days,
Other Medications: Synthroid, .50mg Lisinopril/Hctz 20-12.5mg
Current Illness: none
Preexisting Conditions: None
Allergies: Flexerill - muscle relaxer
Diagnostic Lab Data: they took a blood test to determine electrolyte level and kidney assessment due to the dehydration as a precaution. 10/3 all seemed fine
CDC 'Split Type':

Write-up: The day of the shot I was fine, Friday 10/1. The very next day, 10/2 at 7am I began throwing up and diarrhea that didn''t stop for 3 hours. I also had a fever of 100.4 along with extreme headache. My head felt like a watermelon and my eyes felt incredibly heavy/full. I had to go to the emergency room due to dehydration - that was aroun 10:15 am. I got an IV with anti-nausea. My fever of 100.4-100.5 persisted all night into the early morning hours of 10/3. I also experienced extreme heart pounding late on 10/2 and acute chest pain the evening of 10/3. I am still experiencing on/off fever and headache

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