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This is VAERS ID 906076

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906076
VAERS Form:2
Age:38.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-21
Onset:2020-12-21
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, Palpitations, Swollen tongue, Metabolic function test, 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: 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.


Changed on 5/7/2021

VAERS ID: 906076 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-21
Onset:2020-12-21
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, Palpitations, Swollen tongue, Metabolic function test, 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: Zyrtec, Birth control, multivitamin
Current Illness: Asthma, allergic rhinitis
Preexisting Conditions: Asthma, allergic rhinitis
Allergies: Tree nuts, peanut, environmental 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.


Changed on 5/21/2021

VAERS ID: 906076 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-21
Onset:2020-12-21
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, Palpitations, Swollen tongue, Metabolic function test, 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: Zyrtec, Birth control, multivitamin
Current Illness: Asthma, allergic rhinitis
Preexisting Conditions: Asthma, allergic rhinitis
Allergies: Tree nuts, peanut, environmental 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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