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This is VAERS ID 902491

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902491
VAERS Form:2
Age:41.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
Current Illness:
Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease) ? Spinal headache headache with steroid injection to the back. Uses contact lenses
Allergies: Gabapentin Adhesive Duloxetine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.


Changed on 12/24/2020

VAERS ID: 902491 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
Current Illness:
Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease) ?   Spinal headache headache with steroid injection to the back. Uses contact lenses
Allergies: Gabapentin Adhesive Duloxetine Duloxetine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.


Changed on 12/30/2020

VAERS ID: 902491 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
Current Illness:
Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease)   ? Spinal headache headache with steroid injection to the back. Uses contact lenses
Allergies: Gabapentin Adhesive Duloxetine Duloxetine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.


Changed on 5/7/2021

VAERS ID: 902491 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
Current Illness:
Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease) ?   Spinal headache headache with steroid injection to the back. Uses contact lenses
Allergies: Gabapentin Adhesive Duloxetine Duloxetine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.


Changed on 5/14/2021

VAERS ID: 902491 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
Current Illness:
Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease)   ? Spinal headache headache with steroid injection to the back. Uses contact lenses
Allergies: Gabapentin Adhesive Duloxetine Duloxetine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.

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