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This is VAERS ID 905841

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905841
VAERS Form:2
Age:44.0
Sex:Female
Location:California
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased, Dyspepsia, Flushing, Heart rate increased, Nausea, Throat irritation, Urticaria, Hot flush, Pharyngeal swelling

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: Flushing Hives Nausea Heartburn Throat itching and swelling Hot flash Blood pressure and pulse spiked All of this happened within 5 minutes of administration. Patient was given benedryl and Pepcid and sent to the Emergency Room.


Changed on 5/7/2021

VAERS ID: 905841 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:California
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased, Dyspepsia, Flushing, Heart rate increased, Nausea, Throat irritation, Urticaria, Hot flush, Pharyngeal swelling

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: Flushing Hives Nausea Heartburn Throat itching and swelling Hot flash Blood pressure and pulse spiked All of this happened within 5 minutes of administration. Patient was given benedryl and Pepcid and sent to the Emergency Room.


Changed on 5/21/2021

VAERS ID: 905841 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:California
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased, Dyspepsia, Flushing, Heart rate increased, Nausea, Throat irritation, Urticaria, Hot flush, Pharyngeal swelling

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: Flushing Hives Nausea Heartburn Throat itching and swelling Hot flash Blood pressure and pulse spiked All of this happened within 5 minutes of administration. Patient was given benedryl and Pepcid and sent to the Emergency Room.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=905841&WAYBACKHISTORY=ON


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