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This is VAERS ID 903507

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903507
VAERS Form:2
Age:59.0
Sex:Female
Location:South Carolina
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Feeling hot, Pruritus

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, Tums, Ozempic, Fluconazole, Atorvastatin, Lisinopril, Invokana
Current Illness:
Preexisting Conditions:
Allergies: Contrast, latex, soap, povidone-iodine, adhesive tape, shellfish
Diagnostic Lab Data: Evaluated in ER, vital signs
CDC 'Split Type':

Write-up: Became hot and felt itching minutes after receiving vaccine. No swelling of lip or tongue or throat. No rash. No shortness of breath. ER doctor on site evaluated and determined this was not likely to be an allergic reaction.


Changed on 12/30/2020

VAERS ID: 903507 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:South Carolina
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Feeling hot, Pruritus

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, Tums, Ozempic, Fluconazole, Atorvastatin, Lisinopril, Invokana
Current Illness:
Preexisting Conditions:
Allergies: Contrast, latex, soap, povidone-iodine, adhesive tape, shellfish shellfish
Diagnostic Lab Data: Evaluated in ER, vital signs
CDC 'Split Type':

Write-up: Became hot and felt itching minutes after receiving vaccine. No swelling of lip or tongue or throat. No rash. No shortness of breath. ER doctor on site evaluated and determined this was not likely to be an allergic reaction.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903507&WAYBACKHISTORY=ON


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