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This is VAERS ID 903800

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903800
VAERS Form:2
Age:40.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count, Malaise, Nausea, Throat tightness, Vomiting, Metabolic function test

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: seafood, barbiturates, caffeine, oxycodone, demerol, morphine, acetaminophen, nalbuphine
Diagnostic Lab Data: cbc, bmp, ekg, Chest xray
CDC 'Split Type':

Write-up: sob, nausea, malaise, vomit, chest pain, throat tightness


Changed on 12/30/2020

VAERS ID: 903800 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count, Malaise, Nausea, Throat tightness, Vomiting, Metabolic function test

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: seafood, barbiturates, caffeine, oxycodone, demerol, morphine, acetaminophen, nalbuphine nalbuphine
Diagnostic Lab Data: cbc, bmp, ekg, Chest xray
CDC 'Split Type':

Write-up: sob, nausea, malaise, vomit, chest pain, throat tightness


Changed on 5/7/2021

VAERS ID: 903800 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count, Malaise, Nausea, Throat tightness, Vomiting, Metabolic function test

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: seafood, barbiturates, caffeine, oxycodone, demerol, morphine, acetaminophen, nalbuphine nalbuphine
Diagnostic Lab Data: cbc, bmp, ekg, Chest xray
CDC 'Split Type':

Write-up: sob, nausea, malaise, vomit, chest pain, throat tightness


Changed on 5/14/2021

VAERS ID: 903800 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Puerto Rico
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count, Malaise, Nausea, Throat tightness, Vomiting, Metabolic function test

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: seafood, barbiturates, caffeine, oxycodone, demerol, morphine, acetaminophen, nalbuphine nalbuphine
Diagnostic Lab Data: cbc, bmp, ekg, Chest xray
CDC 'Split Type':

Write-up: sob, nausea, malaise, vomit, chest pain, throat tightness

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