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This is VAERS ID 902777

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902777
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: redness, itching to face, armpit, and neck


Changed on 12/24/2020

VAERS ID: 902777 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa sulfa
Diagnostic Lab Data:
CDC 'Split Type': (blank) VSafe

Write-up: redness, itching to face, armpit, and neck


Changed on 12/30/2020

VAERS ID: 902777 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa sulfa
Diagnostic Lab Data:
CDC 'Split Type': VSafe

Write-up: redness, itching to face, armpit, and neck


Changed on 1/7/2021

VAERS ID: 902777 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa
Diagnostic Lab Data:
CDC 'Split Type': VSafe (blank)

Write-up: redness, itching to face, armpit, and neck


Changed on 5/7/2021

VAERS ID: 902777 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa sulfa
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: redness, itching to face, armpit, and neck


Changed on 5/14/2021

VAERS ID: 902777 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Pruritus

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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa sulfa
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: redness, itching to face, armpit, and neck

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