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This is VAERS ID 903592

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903592
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 3/2021 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Discomfort, Dizziness, Dysphagia, Dysphonia, Dyspnoea, Hypoaesthesia, Paraesthesia, Tachycardia, Tachypnoea, Throat tightness, Hypoaesthesia oral, Sensation of foreign body, Tongue discomfort

Life Threatening? Yes
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives
Diagnostic Lab Data: Ask physicians
CDC 'Split Type':

Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes.


Changed on 12/30/2020

VAERS ID: 903592 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 3/2021 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Discomfort, Dizziness, Dysphagia, Dysphonia, Dyspnoea, Hypoaesthesia, Paraesthesia, Tachycardia, Tachypnoea, Throat tightness, Hypoaesthesia oral, Sensation of foreign body, Tongue discomfort

Life Threatening? Yes
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives preservatives
Diagnostic Lab Data: Ask physicians
CDC 'Split Type':

Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes.


Changed on 5/7/2021

VAERS ID: 903592 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 3/2021 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Discomfort, Dizziness, Dysphagia, Dysphonia, Dyspnoea, Hypoaesthesia, Paraesthesia, Tachycardia, Tachypnoea, Throat tightness, Hypoaesthesia oral, Sensation of foreign body, Tongue discomfort

Life Threatening? Yes
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives preservatives
Diagnostic Lab Data: Ask physicians
CDC 'Split Type':

Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes.


Changed on 5/14/2021

VAERS ID: 903592 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 3/2021 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Discomfort, Dizziness, Dysphagia, Dysphonia, Dyspnoea, Hypoaesthesia, Paraesthesia, Tachycardia, Tachypnoea, Throat tightness, Hypoaesthesia oral, Sensation of foreign body, Tongue discomfort

Life Threatening? Yes
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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives preservatives
Diagnostic Lab Data: Ask physicians
CDC 'Split Type':

Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903592&WAYBACKHISTORY=ON


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