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This is VAERS ID 903747

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903747
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received IM vaccination. Was observed for a period of 15 minutes with no symptoms and was released. Had no symptoms but started developing numbness and tingle sensation in left arm. Patient felt cold sensation in left arm. Patient is being monitored for signs and symptoms in observation room. Will council patient on reporting to primary care physician. Will continue to monitor patient until resolution of numbness. Currently, patient does not feel any coldness in left arm anymore and is starting to feel normal.


Changed on 12/30/2020

VAERS ID: 903747 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received IM vaccination. Was observed for a period of 15 minutes with no symptoms and was released. Had no symptoms but started developing numbness and tingle sensation in left arm. Patient felt cold sensation in left arm. Patient is being monitored for signs and symptoms in observation room. Will council patient on reporting to primary care physician. Will continue to monitor patient until resolution of numbness. Currently, patient does not feel any coldness in left arm anymore and is starting to feel normal.


Changed on 5/7/2021

VAERS ID: 903747 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received IM vaccination. Was observed for a period of 15 minutes with no symptoms and was released. Had no symptoms but started developing numbness and tingle sensation in left arm. Patient felt cold sensation in left arm. Patient is being monitored for signs and symptoms in observation room. Will council patient on reporting to primary care physician. Will continue to monitor patient until resolution of numbness. Currently, patient does not feel any coldness in left arm anymore and is starting to feel normal.


Changed on 5/14/2021

VAERS ID: 903747 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received IM vaccination. Was observed for a period of 15 minutes with no symptoms and was released. Had no symptoms but started developing numbness and tingle sensation in left arm. Patient felt cold sensation in left arm. Patient is being monitored for signs and symptoms in observation room. Will council patient on reporting to primary care physician. Will continue to monitor patient until resolution of numbness. Currently, patient does not feel any coldness in left arm anymore and is starting to feel normal.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903747&WAYBACKHISTORY=ON

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