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This is VAERS ID 903085

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903085
VAERS Form:2
Age:44.0
Sex:Female
Location:Missouri
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 EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Eye swelling, Feeling hot, Paraesthesia, Ear pruritus, Ocular discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.


Changed on 12/24/2020

VAERS ID: 903085 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Missouri
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 EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Eye swelling, Feeling hot, Paraesthesia, Ear pruritus, Ocular discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl Flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.


Changed on 12/30/2020

VAERS ID: 903085 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Missouri
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 EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Eye swelling, Feeling hot, Paraesthesia, Ear pruritus, Ocular discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl Flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.


Changed on 5/7/2021

VAERS ID: 903085 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Missouri
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 EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Eye swelling, Feeling hot, Paraesthesia, Ear pruritus, Ocular discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl Flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.


Changed on 5/21/2021

VAERS ID: 903085 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Missouri
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 EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Eye swelling, Feeling hot, Paraesthesia, Ear pruritus, Ocular discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl Flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.

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