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This is VAERS ID 908431

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908431
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood magnesium, Chest discomfort, Chest pain, Chest X-ray, Dizziness, Full blood count, Hyperhidrosis, Nausea, Vomiting, Brain natriuretic peptide, Troponin, Metabolic function test, Myocardial necrosis marker

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: entresto,metoprolol,simvastin,oxycontin,torsemide,bumex,
Current Illness:
Preexisting Conditions: CAD,L4 L5 spinal injury,MVR, CABG x 1
Allergies: dilaudid,peanuts, chlorhexadine
Diagnostic Lab Data: CBC,CMP,BNP,CXR,MG,CARDIAC ENZYNMES/SERIAL TROPONINS,
CDC 'Split Type':

Write-up: I premedicated prior to injection with benadryl 50mg po and otc pepcid. Approx 25 minutes post injection felt some very mild chest pressure that slowly developed to moderate pain scale 4 over a period of approx 2 hours then returned to a mild pressure once again, all left sided and no radiation of pain noted. At approx 430pm the pressure began to increase again and became painful at approx a 5 on the pain scale, it was then I developed diaphoresis,dizziness and severe nausea/vomitting., Bright green bile appearing vomitus. Went to ED where I was given IV,Zofran 4mg x 2 doses,Reglan 10mg IV and contiued go vomit violently. Recd prescriptions for antiemetic and dc home to ride out the vomitting.


Changed on 5/7/2021

VAERS ID: 908431 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood magnesium, Chest discomfort, Chest pain, Chest X-ray, Dizziness, Full blood count, Hyperhidrosis, Nausea, Vomiting, Brain natriuretic peptide, Troponin, Metabolic function test, Myocardial necrosis marker

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: entresto,metoprolol,simvastin,oxycontin,torsemide,bumex,
Current Illness:
Preexisting Conditions: CAD,L4 L5 spinal injury,MVR, CABG x 1
Allergies: dilaudid,peanuts, chlorhexadine chlorhexadine
Diagnostic Lab Data: CBC,CMP,BNP,CXR,MG,CARDIAC ENZYNMES/SERIAL TROPONINS,
CDC 'Split Type':

Write-up: I premedicated prior to injection with benadryl 50mg po and otc pepcid. Approx 25 minutes post injection felt some very mild chest pressure that slowly developed to moderate pain scale 4 over a period of approx 2 hours then returned to a mild pressure once again, all left sided and no radiation of pain noted. At approx 430pm the pressure began to increase again and became painful at approx a 5 on the pain scale, it was then I developed diaphoresis,dizziness and severe nausea/vomitting., Bright green bile appearing vomitus. Went to ED where I was given IV,Zofran 4mg x 2 doses,Reglan 10mg IV and contiued go vomit violently. Recd prescriptions for antiemetic and dc home to ride out the vomitting.


Changed on 5/14/2021

VAERS ID: 908431 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:California
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood magnesium, Chest discomfort, Chest pain, Chest X-ray, Dizziness, Full blood count, Hyperhidrosis, Nausea, Vomiting, Brain natriuretic peptide, Troponin, Metabolic function test, Myocardial necrosis marker

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: entresto,metoprolol,simvastin,oxycontin,torsemide,bumex,
Current Illness:
Preexisting Conditions: CAD,L4 L5 spinal injury,MVR, CABG x 1
Allergies: dilaudid,peanuts, chlorhexadine chlorhexadine
Diagnostic Lab Data: CBC,CMP,BNP,CXR,MG,CARDIAC ENZYNMES/SERIAL TROPONINS,
CDC 'Split Type':

Write-up: I premedicated prior to injection with benadryl 50mg po and otc pepcid. Approx 25 minutes post injection felt some very mild chest pressure that slowly developed to moderate pain scale 4 over a period of approx 2 hours then returned to a mild pressure once again, all left sided and no radiation of pain noted. At approx 430pm the pressure began to increase again and became painful at approx a 5 on the pain scale, it was then I developed diaphoresis,dizziness and severe nausea/vomitting., Bright green bile appearing vomitus. Went to ED where I was given IV,Zofran 4mg x 2 doses,Reglan 10mg IV and contiued go vomit violently. Recd prescriptions for antiemetic and dc home to ride out the vomitting.

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