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This is VAERS ID 907085

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907085
VAERS Form:2
Age:55.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Palpitations, Hot flush, Immediate post-injection reaction

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient felt heart racing immediately after getting vaccine. Vital signs taken: BP163/84 P:150 O2Sa:100% Patient felt hot flush all over face. Got patient ice water and had patient call for a ride home. Friend is coming to get her. Vitals taken 1802: BP: 147/116 P122 SaO2: 100% Patient sitting resting. Vitals taken: 1809: BP 156/90 P:113 Sao2:100% Patient started having chills - warm blankets given. Vitals taken 1820: BP: 138/94 P: 109 SaO2:100% T:98*F Patient resting in chair. Friend arrived to provide ride home. Vitals taken 1830: 142/84 P:94 SaO2: 100% Vitals taken 1850: BP:127/87 P:102 SaO2: 99% Patient did state that she has been under extreme stress with the death of her husband in November. And today was her first day back to work. Had patient stand and walk around a little, no dizziness noted. Gave her some pretzels to snack on and after 5 minutes she stated she was feeling almost back to normal. Patient''s friend is an RN and was going to have patient spend the night at her home. Patient stated she did not feel she needed to see a provider and felt that she would be ok in her friends care.


Changed on 5/7/2021

VAERS ID: 907085 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Palpitations, Hot flush, Immediate post-injection reaction

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient felt heart racing immediately after getting vaccine. Vital signs taken: BP163/84 P:150 O2Sa:100% Patient felt hot flush all over face. Got patient ice water and had patient call for a ride home. Friend is coming to get her. Vitals taken 1802: BP: 147/116 P122 SaO2: 100% Patient sitting resting. Vitals taken: 1809: BP 156/90 P:113 Sao2:100% Patient started having chills - warm blankets given. Vitals taken 1820: BP: 138/94 P: 109 SaO2:100% T:98*F Patient resting in chair. Friend arrived to provide ride home. Vitals taken 1830: 142/84 P:94 SaO2: 100% Vitals taken 1850: BP:127/87 P:102 SaO2: 99% Patient did state that she has been under extreme stress with the death of her husband in November. And today was her first day back to work. Had patient stand and walk around a little, no dizziness noted. Gave her some pretzels to snack on and after 5 minutes she stated she was feeling almost back to normal. Patient''s friend is an RN and was going to have patient spend the night at her home. Patient stated she did not feel she needed to see a provider and felt that she would be ok in her friends care.


Changed on 5/14/2021

VAERS ID: 907085 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Palpitations, Hot flush, Immediate post-injection reaction

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient felt heart racing immediately after getting vaccine. Vital signs taken: BP163/84 P:150 O2Sa:100% Patient felt hot flush all over face. Got patient ice water and had patient call for a ride home. Friend is coming to get her. Vitals taken 1802: BP: 147/116 P122 SaO2: 100% Patient sitting resting. Vitals taken: 1809: BP 156/90 P:113 Sao2:100% Patient started having chills - warm blankets given. Vitals taken 1820: BP: 138/94 P: 109 SaO2:100% T:98*F Patient resting in chair. Friend arrived to provide ride home. Vitals taken 1830: 142/84 P:94 SaO2: 100% Vitals taken 1850: BP:127/87 P:102 SaO2: 99% Patient did state that she has been under extreme stress with the death of her husband in November. And today was her first day back to work. Had patient stand and walk around a little, no dizziness noted. Gave her some pretzels to snack on and after 5 minutes she stated she was feeling almost back to normal. Patient''s friend is an RN and was going to have patient spend the night at her home. Patient stated she did not feel she needed to see a provider and felt that she would be ok in her friends care.

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