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This is VAERS ID 906065

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906065
VAERS Form:2
Age:65.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-19
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Pruritus, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine 10mg once Diphenhydramine 25mg once
Current Illness: none
Preexisting Conditions: HTN
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: About 1 1/2 hour after injection, one hive appeared on face. Face and arm, head itchy. No rash.


Changed on 5/7/2021

VAERS ID: 906065 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-19
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Pruritus, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine 10mg once Diphenhydramine 25mg once
Current Illness: none
Preexisting Conditions: HTN
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: About 1 1/2 hour after injection, one hive appeared on face. Face and arm, head itchy. No rash.


Changed on 5/21/2021

VAERS ID: 906065 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-19
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Pruritus, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine 10mg once Diphenhydramine 25mg once
Current Illness: none
Preexisting Conditions: HTN
Allergies: none none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: About 1 1/2 hour after injection, one hive appeared on face. Face and arm, head itchy. No rash.

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