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This is VAERS ID 956894

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 956894
VAERS Form:2
Age:38.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-19
Onset:2021-01-19
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH #EL3248 / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Nausea, Petechiae

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seroquel, Metformin, Synthroid, coA10 supplement
Current Illness: Hypothyroidism, PCOS
Preexisting Conditions:
Allergies: Bactrim
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: 1638: Presented with dizziness, lightheaded, feeling flush, feels impending sense of doom, BP 138/82 (high for patient), Heart rate 75, Patient alert and oriented X3, Respiration easy and unlabored, Denies shortness of breath 1645: BP: 138/82 HR 82 99% Biox 1647: Went to get husband in the parking lot 1648: EMS called 1650: Husband with patient, patient still nausea 1653: Petechial rash observed to upper chest 1654: resting in supine position in recliner 1655: 118/70, HR 99, 99% Biox, 20 respiration 1700: EMS here 1703: no flu shot this year 1706: Left with EMS ? Patient reques


Changed on 5/7/2021

VAERS ID: 956894 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-19
Onset:2021-01-19
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH #EL3248 / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Nausea, Petechiae

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seroquel, Metformin, Synthroid, coA10 supplement
Current Illness: Hypothyroidism, PCOS
Preexisting Conditions:
Allergies: Bactrim Bactrim
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: 1638: Presented with dizziness, lightheaded, feeling flush, feels impending sense of doom, BP 138/82 (high for patient), Heart rate 75, Patient alert and oriented X3, Respiration easy and unlabored, Denies shortness of breath 1645: BP: 138/82 HR 82 99% Biox 1647: Went to get husband in the parking lot 1648: EMS called 1650: Husband with patient, patient still nausea 1653: Petechial rash observed to upper chest 1654: resting in supine position in recliner 1655: 118/70, HR 99, 99% Biox, 20 respiration 1700: EMS here 1703: no flu shot this year 1706: Left with EMS ? Patient reques


Changed on 5/14/2021

VAERS ID: 956894 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-19
Onset:2021-01-19
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH #EL3248 / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Nausea, Petechiae

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seroquel, Metformin, Synthroid, coA10 supplement
Current Illness: Hypothyroidism, PCOS
Preexisting Conditions:
Allergies: Bactrim Bactrim
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: 1638: Presented with dizziness, lightheaded, feeling flush, feels impending sense of doom, BP 138/82 (high for patient), Heart rate 75, Patient alert and oriented X3, Respiration easy and unlabored, Denies shortness of breath 1645: BP: 138/82 HR 82 99% Biox 1647: Went to get husband in the parking lot 1648: EMS called 1650: Husband with patient, patient still nausea 1653: Petechial rash observed to upper chest 1654: resting in supine position in recliner 1655: 118/70, HR 99, 99% Biox, 20 respiration 1700: EMS here 1703: no flu shot this year 1706: Left with EMS ? Patient reques

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