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This is VAERS ID 904260

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 904260
VAERS Form:2
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphagia, Feeling cold, Feeling hot, Flushing, Heart rate increased, Hyperhidrosis, Hypertension, Livedo reticularis, Palpitations, Tachycardia, Tremor, Visual impairment, Paraesthesia oral

Life Threatening? Yes
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: Symbicort, albuterol
Current Illness: Cervical radiculopathy with medrol dose pack on 11/24.
Preexisting Conditions: Asthma, migraines, Factor V Leiden, vitiligo, environmental/seasonal allergies
Allergies: Latex, Sulfa''s, dairy products, gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 minutes after injection, I felt flushed and dizzy. They hooked me up to a vital sign monitor which showed my heart increasing to 133 bpm, SaO2 98%. A manual blood pressure check was 168/110. My heart felt like it was pounding, I was hot and sweating. After 10 minutes or so, I felt increasingly dizzy and my vision started fading. VS still showed tachycardia and hypertension. It became difficult to swallow and my tongue was feeling fat. A Rapid Response Team was alerted, they started and IV, and took me to the Emergency Department. I became very cold and shaky. My hands and feet became a little mottled. They gave me 50 mg IV benedryl, 20 mg IV pepcid, a dose of solumedrol, and IM epinephrine 0.3mg, and 1 Liter of fluid. My symptoms resolved and I was discharged home a couple hours later.


Changed on 12/30/2020

VAERS ID: 904260 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphagia, Feeling cold, Feeling hot, Flushing, Heart rate increased, Hyperhidrosis, Hypertension, Livedo reticularis, Palpitations, Tachycardia, Tremor, Visual impairment, Paraesthesia oral

Life Threatening? Yes
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: Symbicort, albuterol
Current Illness: Cervical radiculopathy with medrol dose pack on 11/24.
Preexisting Conditions: Asthma, migraines, Factor V Leiden, vitiligo, environmental/seasonal allergies
Allergies: Latex, Sulfa''s, dairy products, gluten gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 minutes after injection, I felt flushed and dizzy. They hooked me up to a vital sign monitor which showed my heart increasing to 133 bpm, SaO2 98%. A manual blood pressure check was 168/110. My heart felt like it was pounding, I was hot and sweating. After 10 minutes or so, I felt increasingly dizzy and my vision started fading. VS still showed tachycardia and hypertension. It became difficult to swallow and my tongue was feeling fat. A Rapid Response Team was alerted, they started and IV, and took me to the Emergency Department. I became very cold and shaky. My hands and feet became a little mottled. They gave me 50 mg IV benedryl, 20 mg IV pepcid, a dose of solumedrol, and IM epinephrine 0.3mg, and 1 Liter of fluid. My symptoms resolved and I was discharged home a couple hours later.


Changed on 5/7/2021

VAERS ID: 904260 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphagia, Feeling cold, Feeling hot, Flushing, Heart rate increased, Hyperhidrosis, Hypertension, Livedo reticularis, Palpitations, Tachycardia, Tremor, Visual impairment, Paraesthesia oral

Life Threatening? Yes
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: Symbicort, albuterol
Current Illness: Cervical radiculopathy with medrol dose pack on 11/24.
Preexisting Conditions: Asthma, migraines, Factor V Leiden, vitiligo, environmental/seasonal allergies
Allergies: Latex, Sulfa''s, dairy products, gluten gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 minutes after injection, I felt flushed and dizzy. They hooked me up to a vital sign monitor which showed my heart increasing to 133 bpm, SaO2 98%. A manual blood pressure check was 168/110. My heart felt like it was pounding, I was hot and sweating. After 10 minutes or so, I felt increasingly dizzy and my vision started fading. VS still showed tachycardia and hypertension. It became difficult to swallow and my tongue was feeling fat. A Rapid Response Team was alerted, they started and IV, and took me to the Emergency Department. I became very cold and shaky. My hands and feet became a little mottled. They gave me 50 mg IV benedryl, 20 mg IV pepcid, a dose of solumedrol, and IM epinephrine 0.3mg, and 1 Liter of fluid. My symptoms resolved and I was discharged home a couple hours later.


Changed on 5/14/2021

VAERS ID: 904260 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Colorado
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphagia, Feeling cold, Feeling hot, Flushing, Heart rate increased, Hyperhidrosis, Hypertension, Livedo reticularis, Palpitations, Tachycardia, Tremor, Visual impairment, Paraesthesia oral

Life Threatening? Yes
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: Symbicort, albuterol
Current Illness: Cervical radiculopathy with medrol dose pack on 11/24.
Preexisting Conditions: Asthma, migraines, Factor V Leiden, vitiligo, environmental/seasonal allergies
Allergies: Latex, Sulfa''s, dairy products, gluten gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 minutes after injection, I felt flushed and dizzy. They hooked me up to a vital sign monitor which showed my heart increasing to 133 bpm, SaO2 98%. A manual blood pressure check was 168/110. My heart felt like it was pounding, I was hot and sweating. After 10 minutes or so, I felt increasingly dizzy and my vision started fading. VS still showed tachycardia and hypertension. It became difficult to swallow and my tongue was feeling fat. A Rapid Response Team was alerted, they started and IV, and took me to the Emergency Department. I became very cold and shaky. My hands and feet became a little mottled. They gave me 50 mg IV benedryl, 20 mg IV pepcid, a dose of solumedrol, and IM epinephrine 0.3mg, and 1 Liter of fluid. My symptoms resolved and I was discharged home a couple hours later.

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