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This is VAERS ID 905814

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905814
VAERS Form:2
Age:24.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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: unknown
Preexisting Conditions: unknown
Allergies: Unknown
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient developed hives 30 minutes after receiving injection. Received Benadryl and seen in ER for evaluation. No further issues reported.


Changed on 5/7/2021

VAERS ID: 905814 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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: unknown
Preexisting Conditions: unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient developed hives 30 minutes after receiving injection. Received Benadryl and seen in ER for evaluation. No further issues reported.


Changed on 5/21/2021

VAERS ID: 905814 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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: unknown
Preexisting Conditions: unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient developed hives 30 minutes after receiving injection. Received Benadryl and seen in ER for evaluation. No further issues reported.

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