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This is VAERS ID 926290

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 926290
VAERS Form:2
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-02
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood lactic acid, Dyspnoea, Electrocardiogram, Full blood count, Headache, Myalgia, Pulmonary embolism, Pyrexia, Tachycardia, Metabolic function test, Angiocardiogram

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: Covid positive within 3 weeks of vaccine
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: CBC, CMP, Lactic acid, CT angiogram of thorax with IV contrast to R/O PE, EKG
CDC 'Split Type':

Write-up: Presented to ED 1/3/2021 Tachycardia, fever, headache and myalgia. Complaints of shortness of breath.


Changed on 5/7/2021

VAERS ID: 926290 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-02
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood lactic acid, Dyspnoea, Electrocardiogram, Full blood count, Headache, Myalgia, Pulmonary embolism, Pyrexia, Tachycardia, Metabolic function test, Angiocardiogram

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: Covid positive within 3 weeks of vaccine
Preexisting Conditions: None
Allergies: None known known
Diagnostic Lab Data: CBC, CMP, Lactic acid, CT angiogram of thorax with IV contrast to R/O PE, EKG
CDC 'Split Type':

Write-up: Presented to ED 1/3/2021 Tachycardia, fever, headache and myalgia. Complaints of shortness of breath.


Changed on 5/14/2021

VAERS ID: 926290 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-02
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood lactic acid, Dyspnoea, Electrocardiogram, Full blood count, Headache, Myalgia, Pulmonary embolism, Pyrexia, Tachycardia, Metabolic function test, Angiocardiogram

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: Covid positive within 3 weeks of vaccine
Preexisting Conditions: None
Allergies: None known known
Diagnostic Lab Data: CBC, CMP, Lactic acid, CT angiogram of thorax with IV contrast to R/O PE, EKG
CDC 'Split Type':

Write-up: Presented to ED 1/3/2021 Tachycardia, fever, headache and myalgia. Complaints of shortness of breath.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=926290&WAYBACKHISTORY=ON


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