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

This is VAERS ID 906076

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Case Details

VAERS ID: 906076 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Chills, Diarrhoea, Full blood count, Hypersensitivity, Metabolic function test, Palpitations, Pharyngeal swelling, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Birth control, multivitamin
Current Illness: Asthma, allergic rhinitis
Preexisting Conditions: Asthma, allergic rhinitis
Allergies: Tree nuts, peanut, environmental
Diagnostic Lab Data: CBC, CMP, chest X-ray
CDC Split Type:

Write-up: About 1-2 hours after receiving the vaccine, I began to have tongue Hb and throat swelling?mild to moderate. About 3-4 hours later, I had one episode of diarrhea, followed by chills and palpitations. I took Benadryl and Zantac around 8P. When I woke up in the morning, I still had tongue and throat swelling (no trouble breathing), so went to the ER and was treated for an allergic reaction with IV Benadryl, Solumedrol, and Pepcid.


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