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This is VAERS ID 902665

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902665
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.


Changed on 12/24/2020

VAERS ID: 902665 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape tape
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.


Changed on 12/30/2020

VAERS ID: 902665 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape tape
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.


Changed on 5/7/2021

VAERS ID: 902665 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape tape
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.


Changed on 5/14/2021

VAERS ID: 902665 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape tape
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.

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