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From the 1/7/2022 release of VAERS data:

This is VAERS ID 905897

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Case Details

VAERS ID: 905897 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Pharyngeal swelling, Swollen tongue, Throat irritation, Tongue pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Etonogestrel (Nexplanon), Mesalamine (LIALDA) 1.2g tablet, extended release
Current Illness: none
Preexisting Conditions: Lymphocytic colitis
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: approximately 30 minutes after the vaccine the patient began to experience itching and swelling of the throat and tongue.


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