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This is VAERS ID 903776

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903776
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 EL0140 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Feeling hot, Pruritus, Skin warm, Swelling face, Tachycardia, Urticaria

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: Arm swelling and hand swelling after Flu vaccine in 2020. Also numbness and tingling.
Other Medications: Synthroid, multi-vitamin, vitamin D3, elderberry, magnesium, dulera inhaler.
Current Illness: N/A
Preexisting Conditions: Asthma, hypothyroidism.
Allergies: Shellfish, pecans, sensitive to preservatives
Diagnostic Lab Data: Not applicable
CDC 'Split Type':

Write-up: Hives, itching, warmth on bilateral face and neck and chest. Tachycardia. Facial swelling.


Changed on 12/30/2020

VAERS ID: 903776 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 EL0140 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Feeling hot, Pruritus, Skin warm, Swelling face, Tachycardia, Urticaria

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: Arm swelling and hand swelling after Flu vaccine in 2020. Also numbness and tingling.
Other Medications: Synthroid, multi-vitamin, vitamin D3, elderberry, magnesium, dulera inhaler.
Current Illness: N/A
Preexisting Conditions: Asthma, hypothyroidism.
Allergies: Shellfish, pecans, sensitive to preservatives preservatives
Diagnostic Lab Data: Not applicable
CDC 'Split Type':

Write-up: Hives, itching, warmth on bilateral face and neck and chest. Tachycardia. Facial swelling.


Changed on 5/7/2021

VAERS ID: 903776 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 EL0140 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Feeling hot, Pruritus, Skin warm, Swelling face, Tachycardia, Urticaria

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: Arm swelling and hand swelling after Flu vaccine in 2020. Also numbness and tingling.
Other Medications: Synthroid, multi-vitamin, vitamin D3, elderberry, magnesium, dulera inhaler.
Current Illness: N/A
Preexisting Conditions: Asthma, hypothyroidism.
Allergies: Shellfish, pecans, sensitive to preservatives preservatives
Diagnostic Lab Data: Not applicable
CDC 'Split Type':

Write-up: Hives, itching, warmth on bilateral face and neck and chest. Tachycardia. Facial swelling.


Changed on 5/14/2021

VAERS ID: 903776 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 EL0140 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Feeling hot, Pruritus, Skin warm, Swelling face, Tachycardia, Urticaria

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: Arm swelling and hand swelling after Flu vaccine in 2020. Also numbness and tingling.
Other Medications: Synthroid, multi-vitamin, vitamin D3, elderberry, magnesium, dulera inhaler.
Current Illness: N/A
Preexisting Conditions: Asthma, hypothyroidism.
Allergies: Shellfish, pecans, sensitive to preservatives preservatives
Diagnostic Lab Data: Not applicable
CDC 'Split Type':

Write-up: Hives, itching, warmth on bilateral face and neck and chest. Tachycardia. Facial swelling.

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