This is VAERS ID 902479

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC 'Split Type':

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

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Changed on 12/24/2020

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC 'Split Type':

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

---

Changed on 12/30/2020

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC 'Split Type':

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

---

Changed on 5/7/2021

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC 'Split Type':

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

---

Changed on 5/14/2021

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC 'Split Type':

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

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