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This is VAERS ID 906910

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906910
VAERS Form:2
Age:56.0
Sex:Male
Location:Florida
Vaccinated:2020-12-18
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood bilirubin increased, Blood osmolarity increased, Blood urea increased, Platelet count decreased, Platelet transfusion, Thrombocytopenia, Contusion, Monocyte percentage increased, Haemorrhage, Immune thrombocytopenia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home medications at the time of vaccination or hospital admission
Current Illness: No pertinent past medical history prior to vaccination
Preexisting Conditions: No pertinent past medical history prior to vaccination
Allergies: No known allergies of any type
Diagnostic Lab Data: BP: 159/106 (12/22/20), Platelets 0 (12/22/20), monocytes 12.1% (12/22/20), BUN 22.3 (12/22/20), BILI 1.50 (12/22/20), calculated osmolality 297 (12/22/20). All other labs are w
CDC 'Split Type':

Write-up: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP


Changed on 5/7/2021

VAERS ID: 906910 Before After
VAERS Form:2
Age:56.0
Sex:Male
Location:Florida
Vaccinated:2020-12-18
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood bilirubin increased, Blood osmolarity increased, Blood urea increased, Platelet count decreased, Platelet transfusion, Thrombocytopenia, Contusion, Monocyte percentage increased, Haemorrhage, Immune thrombocytopenia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home medications at the time of vaccination or hospital admission
Current Illness: No pertinent past medical history prior to vaccination
Preexisting Conditions: No pertinent past medical history prior to vaccination
Allergies: No known allergies of any type type
Diagnostic Lab Data: BP: 159/106 (12/22/20), Platelets 0 (12/22/20), monocytes 12.1% (12/22/20), BUN 22.3 (12/22/20), BILI 1.50 (12/22/20), calculated osmolality 297 (12/22/20). All other labs are w
CDC 'Split Type':

Write-up: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP


Changed on 5/14/2021

VAERS ID: 906910 Before After
VAERS Form:2
Age:56.0
Sex:Male
Location:Florida
Vaccinated:2020-12-18
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood bilirubin increased, Blood osmolarity increased, Blood urea increased, Platelet count decreased, Platelet transfusion, Thrombocytopenia, Contusion, Monocyte percentage increased, Haemorrhage, Immune thrombocytopenia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home medications at the time of vaccination or hospital admission
Current Illness: No pertinent past medical history prior to vaccination
Preexisting Conditions: No pertinent past medical history prior to vaccination
Allergies: No known allergies of any type type
Diagnostic Lab Data: BP: 159/106 (12/22/20), Platelets 0 (12/22/20), monocytes 12.1% (12/22/20), BUN 22.3 (12/22/20), BILI 1.50 (12/22/20), calculated osmolality 297 (12/22/20). All other labs are w
CDC 'Split Type':

Write-up: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP

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