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This is VAERS ID 905984

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 905984
VAERS Form:2
Age:54.0
Sex:Female
Location:Washington
Vaccinated:2020-12-19
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 EJ1685 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased, Lip swelling, Swelling face, Swollen tongue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meclizine, omeprazole, melatonin , ibuprofen all as needed
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: at the emergency room presented with initial heart rate of 123, oxygen was normal, BP 187/99.
CDC 'Split Type':

Write-up: flushed face, facial swelling, lips and tongue swelling, elevated HR, elevated BP , light headedness, after vaccine I waited for 20 min with no symptoms, once I left the facility I immediately felt symptoms of face flushing and swelling and elevated heart rate . I immediately turned around and went to the ER,


Changed on 12/30/2020

VAERS ID: 905984 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Washington
Vaccinated:2020-12-19
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 EJ1685 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased, Lip swelling, Swelling face, Swollen tongue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meclizine, omeprazole, melatonin , ibuprofen all as needed
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: at the emergency room presented with initial heart rate of 123, oxygen was normal, BP 187/99.
CDC 'Split Type':

Write-up: flushed face, facial swelling, lips and tongue swelling, elevated HR, elevated BP , light headedness, after vaccine I waited for 20 min with no symptoms, once I left the facility I immediately felt symptoms of face flushing and swelling and elevated heart rate . I immediately turned around and went to the ER,


Changed on 5/7/2021

VAERS ID: 905984 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Washington
Vaccinated:2020-12-19
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 EJ1685 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased, Lip swelling, Swelling face, Swollen tongue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meclizine, omeprazole, melatonin , ibuprofen all as needed
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: at the emergency room presented with initial heart rate of 123, oxygen was normal, BP 187/99.
CDC 'Split Type':

Write-up: flushed face, facial swelling, lips and tongue swelling, elevated HR, elevated BP , light headedness, after vaccine I waited for 20 min with no symptoms, once I left the facility I immediately felt symptoms of face flushing and swelling and elevated heart rate . I immediately turned around and went to the ER,


Changed on 5/21/2021

VAERS ID: 905984 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Washington
Vaccinated:2020-12-19
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 EJ1685 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased, Lip swelling, Swelling face, Swollen tongue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meclizine, omeprazole, melatonin , ibuprofen all as needed
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: at the emergency room presented with initial heart rate of 123, oxygen was normal, BP 187/99.
CDC 'Split Type':

Write-up: flushed face, facial swelling, lips and tongue swelling, elevated HR, elevated BP , light headedness, after vaccine I waited for 20 min with no symptoms, once I left the facility I immediately felt symptoms of face flushing and swelling and elevated heart rate . I immediately turned around and went to the ER,

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