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This is VAERS ID 906159

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906159
VAERS Form:2
Age:36.0
Sex:Female
Location:Florida
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, clonidine, fluoxetine, Ajovy, Neurontin, atarax, reyvow, Provigil, Compazine, ubreluy
Current Illness:
Preexisting Conditions: Migraines, GERD, IBS, OCD carpal tunnel right, asthma
Allergies: Emycin, dye
Diagnostic Lab Data: RX zyrtec, pepcid
CDC 'Split Type':

Write-up: generalized hives


Changed on 5/7/2021

VAERS ID: 906159 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Florida
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, clonidine, fluoxetine, Ajovy, Neurontin, atarax, reyvow, Provigil, Compazine, ubreluy
Current Illness:
Preexisting Conditions: Migraines, GERD, IBS, OCD carpal tunnel right, asthma
Allergies: Emycin, dye dye
Diagnostic Lab Data: RX zyrtec, pepcid
CDC 'Split Type':

Write-up: generalized hives


Changed on 5/21/2021

VAERS ID: 906159 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Florida
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, clonidine, fluoxetine, Ajovy, Neurontin, atarax, reyvow, Provigil, Compazine, ubreluy
Current Illness:
Preexisting Conditions: Migraines, GERD, IBS, OCD carpal tunnel right, asthma
Allergies: Emycin, dye dye
Diagnostic Lab Data: RX zyrtec, pepcid
CDC 'Split Type':

Write-up: generalized hives

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