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This is VAERS ID 903954

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903954
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt started tonight with hives on the back of his neck. When talking to patient, he states he developed one on his arm that was spreading quickly. Encouraged to take benadryl and seek medical attention.


Changed on 12/30/2020

VAERS ID: 903954 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt started tonight with hives on the back of his neck. When talking to patient, he states he developed one on his arm that was spreading quickly. Encouraged to take benadryl and seek medical attention.


Changed on 5/7/2021

VAERS ID: 903954 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt started tonight with hives on the back of his neck. When talking to patient, he states he developed one on his arm that was spreading quickly. Encouraged to take benadryl and seek medical attention.


Changed on 5/14/2021

VAERS ID: 903954 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
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 - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt started tonight with hives on the back of his neck. When talking to patient, he states he developed one on his arm that was spreading quickly. Encouraged to take benadryl and seek medical attention.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903954&WAYBACKHISTORY=ON


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