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This is VAERS ID 903197

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903197
VAERS Form:2
Age:33.0
Sex:Female
Location:Alaska
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 EJ1685 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dysphonia, Rash, Swollen tongue, Tachycardia, Throat irritation

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: Benadryl 25mg 1hr before vaccine
Current Illness: no
Preexisting Conditions: no
Allergies: no known
Diagnostic Lab Data: none at this time
CDC 'Split Type':

Write-up: Swollen tongue, scratchy throat, rash, tachycardia, and raspy voice


Changed on 12/24/2020

VAERS ID: 903197 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Alaska
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 EJ1685 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dysphonia, Rash, Swollen tongue, Tachycardia, Throat irritation

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: Benadryl 25mg 1hr before vaccine
Current Illness: no
Preexisting Conditions: no
Allergies: no known known
Diagnostic Lab Data: none at this time
CDC 'Split Type':

Write-up: Swollen tongue, scratchy throat, rash, tachycardia, and raspy voice


Changed on 12/30/2020

VAERS ID: 903197 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Alaska
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 EJ1685 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dysphonia, Rash, Swollen tongue, Tachycardia, Throat irritation

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: Benadryl 25mg 1hr before vaccine
Current Illness: no
Preexisting Conditions: no
Allergies: no known known
Diagnostic Lab Data: none at this time
CDC 'Split Type':

Write-up: Swollen tongue, scratchy throat, rash, tachycardia, and raspy voice


Changed on 5/7/2021

VAERS ID: 903197 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Alaska
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 EJ1685 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dysphonia, Rash, Swollen tongue, Tachycardia, Throat irritation

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: Benadryl 25mg 1hr before vaccine
Current Illness: no
Preexisting Conditions: no
Allergies: no known known
Diagnostic Lab Data: none at this time
CDC 'Split Type':

Write-up: Swollen tongue, scratchy throat, rash, tachycardia, and raspy voice

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