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This is VAERS ID 903192

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903192
VAERS Form:2
Age:48.0
Sex:Female
Location:South Carolina
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Swollen tongue, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling

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: Yes
Current Illness: None
Preexisting Conditions: Yes
Allergies: Yes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Paresthesias of lateral tongue and throat, subjective swelling of tongue and throat, subjective shortness of breath


Changed on 12/24/2020

VAERS ID: 903192 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:South Carolina
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Swollen tongue, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling

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: Yes
Current Illness: None
Preexisting Conditions: Yes
Allergies: Yes Yes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Paresthesias of lateral tongue and throat, subjective swelling of tongue and throat, subjective shortness of breath


Changed on 12/30/2020

VAERS ID: 903192 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:South Carolina
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Swollen tongue, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling

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: Yes
Current Illness: None
Preexisting Conditions: Yes
Allergies: Yes Yes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Paresthesias of lateral tongue and throat, subjective swelling of tongue and throat, subjective shortness of breath


Changed on 5/7/2021

VAERS ID: 903192 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:South Carolina
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Swollen tongue, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling

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: Yes
Current Illness: None
Preexisting Conditions: Yes
Allergies: Yes Yes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Paresthesias of lateral tongue and throat, subjective swelling of tongue and throat, subjective shortness of breath


Changed on 5/14/2021

VAERS ID: 903192 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:South Carolina
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Swollen tongue, Paraesthesia oral, Pharyngeal paraesthesia, Pharyngeal swelling

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: Yes
Current Illness: None
Preexisting Conditions: Yes
Allergies: Yes Yes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Paresthesias of lateral tongue and throat, subjective swelling of tongue and throat, subjective shortness of breath

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903192&WAYBACKHISTORY=ON

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