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This is VAERS ID 903916

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903916
VAERS Form:2
Age:37.0
Sex:Female
Location:Virginia
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anxiety, Dysarthria, Dysgeusia, Dysphagia, Facial paralysis, Flushing, Lymphadenopathy, Paraesthesia, Swelling face, Throat irritation

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: Unknown
Current Illness: None listed
Preexisting Conditions: none listed
Allergies: No listed
Diagnostic Lab Data: Reporter not privileged to this information.
CDC 'Split Type':

Write-up: Individual started complaining of an itch in her throat and felt some degree of lymph node swelling on the right side. Collective symptoms include: anxiety, flushing, short term paresthesia, right sided facial swelling, difficulty swallowing, right sided facial droop, medicinal taste. some slurring. Individual was taken to the ed in house, triaged, treated and released. Reporter is not privileged to details of treatment, but aware of release within hours of being seen.


Changed on 12/30/2020

VAERS ID: 903916 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Virginia
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 EH9899 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anxiety, Dysarthria, Dysgeusia, Dysphagia, Facial paralysis, Flushing, Lymphadenopathy, Paraesthesia, Swelling face, Throat irritation

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: Unknown
Current Illness: None listed
Preexisting Conditions: none listed
Allergies: No listed listed
Diagnostic Lab Data: Reporter not privileged to this information.
CDC 'Split Type':

Write-up: Individual started complaining of an itch in her throat and felt some degree of lymph node swelling on the right side. Collective symptoms include: anxiety, flushing, short term paresthesia, right sided facial swelling, difficulty swallowing, right sided facial droop, medicinal taste. some slurring. Individual was taken to the ed in house, triaged, treated and released. Reporter is not privileged to details of treatment, but aware of release within hours of being seen.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903916&WAYBACKHISTORY=ON


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