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This is VAERS ID 905769

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905769
VAERS Form:2
Age:70.0
Sex:Male
Location:Alaska
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 - / IM

Administered by: Public      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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol, amlodipine, Clairitin, Combivent, Vitamin B-12, Dulera, Flonase, folic acid, ipratropium bromide, loratadine, metformin, omeprazole, pro air, pyridoxine, simvastatin, singulair, Tamsulosin, triamcinolone acetate, vitamin d3, a
Current Illness:
Preexisting Conditions: b12 deficiency, vitamin d deficiency, homocysteinemia, sleep apnea, ETD, atrial fibrillation, vasomotor rhinitis, allergic rhinitis, COPD, allergic dermatitis, vertigo, nocturia, diabetes mellitus, hyperlipidemia, gout, obesity, thrombocytopenia, migraine, hypertension, GERD,
Allergies: penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives on hands that appeared next morning and still remain 3 days post vaccination


Changed on 5/7/2021

VAERS ID: 905769 Before After
VAERS Form:2
Age:70.0
Sex:Male
Location:Alaska
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 - / IM

Administered by: Public      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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol, amlodipine, Clairitin, Combivent, Vitamin B-12, Dulera, Flonase, folic acid, ipratropium bromide, loratadine, metformin, omeprazole, pro air, pyridoxine, simvastatin, singulair, Tamsulosin, triamcinolone acetate, vitamin d3, a
Current Illness:
Preexisting Conditions: b12 deficiency, vitamin d deficiency, homocysteinemia, sleep apnea, ETD, atrial fibrillation, vasomotor rhinitis, allergic rhinitis, COPD, allergic dermatitis, vertigo, nocturia, diabetes mellitus, hyperlipidemia, gout, obesity, thrombocytopenia, migraine, hypertension, GERD,
Allergies: penicillin penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives on hands that appeared next morning and still remain 3 days post vaccination


Changed on 5/21/2021

VAERS ID: 905769 Before After
VAERS Form:2
Age:70.0
Sex:Male
Location:Alaska
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 - / IM

Administered by: Public      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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol, amlodipine, Clairitin, Combivent, Vitamin B-12, Dulera, Flonase, folic acid, ipratropium bromide, loratadine, metformin, omeprazole, pro air, pyridoxine, simvastatin, singulair, Tamsulosin, triamcinolone acetate, vitamin d3, a
Current Illness:
Preexisting Conditions: b12 deficiency, vitamin d deficiency, homocysteinemia, sleep apnea, ETD, atrial fibrillation, vasomotor rhinitis, allergic rhinitis, COPD, allergic dermatitis, vertigo, nocturia, diabetes mellitus, hyperlipidemia, gout, obesity, thrombocytopenia, migraine, hypertension, GERD,
Allergies: penicillin penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives on hands that appeared next morning and still remain 3 days post vaccination

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