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This is VAERS ID 902946

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902946
VAERS Form:2
Age:26.0
Sex:Male
Location:West Virginia
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Angioedema, Peripheral swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral)
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: Swelling of hands follwed by angioedema


Changed on 12/24/2020

VAERS ID: 902946 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:West Virginia
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Angioedema, Peripheral swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral) (oral)
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: Swelling of hands follwed by angioedema


Changed on 12/30/2020

VAERS ID: 902946 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:West Virginia
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Angioedema, Peripheral swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral) (oral)
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: Swelling of hands follwed by angioedema


Changed on 5/7/2021

VAERS ID: 902946 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:West Virginia
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Angioedema, Peripheral swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral) (oral)
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: Swelling of hands follwed by angioedema


Changed on 5/14/2021

VAERS ID: 902946 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:West Virginia
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Angioedema, Peripheral swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral) (oral)
Diagnostic Lab Data: na
CDC 'Split Type':

Write-up: Swelling of hands follwed by angioedema

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=902946&WAYBACKHISTORY=ON


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