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This is VAERS ID 903460

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903460
VAERS Form:2
Age:49.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dyspnoea, Ocular hyperaemia, Pain, Rash, Swelling face, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone 25 mg daily Clonidine 0.1 mg for hot flashes Multivitamin Fish Oil Omeprazole 20 mg Calcium 600 mg with D5 20mcg
Current Illness: No
Preexisting Conditions: HTN Asthma (dormant)
Allergies: lactose
Diagnostic Lab Data: 25 mg of Benadryl prior to going to ER, IV: Benadryl, Decadron, Pepcid
CDC 'Split Type':

Write-up: Eye redness, pain, swollen Face swelling Bilateral arms and hands swelling Rash SOB


Changed on 12/30/2020

VAERS ID: 903460 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Arkansas
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dyspnoea, Ocular hyperaemia, Pain, Rash, Swelling face, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone 25 mg daily Clonidine 0.1 mg for hot flashes Multivitamin Fish Oil Omeprazole 20 mg Calcium 600 mg with D5 20mcg
Current Illness: No
Preexisting Conditions: HTN Asthma (dormant)
Allergies: lactose lactose
Diagnostic Lab Data: 25 mg of Benadryl prior to going to ER, IV: Benadryl, Decadron, Pepcid
CDC 'Split Type':

Write-up: Eye redness, pain, swollen Face swelling Bilateral arms and hands swelling Rash SOB

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903460&WAYBACKHISTORY=ON


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