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This is VAERS ID 906301

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906301
VAERS Form:2
Age:41.0
Sex:Female
Location:Virginia
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 EH9899 / UNK RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Burning sensation, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: NA
Preexisting Conditions: None
Allergies: Beef, cottonseed oil, oats, codeine, and Sulfa
Diagnostic Lab Data: Observation, Benadryl 50mgs, Elevated BP
CDC 'Split Type':

Write-up: hives on neck and chest 20mins after the injection. The hives burned no itching


Changed on 5/7/2021

VAERS ID: 906301 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Virginia
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 EH9899 / UNK RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Burning sensation, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: NA
Preexisting Conditions: None
Allergies: Beef, cottonseed oil, oats, codeine, and Sulfa Sulfa
Diagnostic Lab Data: Observation, Benadryl 50mgs, Elevated BP
CDC 'Split Type':

Write-up: hives on neck and chest 20mins after the injection. The hives burned no itching


Changed on 5/21/2021

VAERS ID: 906301 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Virginia
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 EH9899 / UNK RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure increased, Burning sensation, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: NA
Preexisting Conditions: None
Allergies: Beef, cottonseed oil, oats, codeine, and Sulfa Sulfa
Diagnostic Lab Data: Observation, Benadryl 50mgs, Elevated BP
CDC 'Split Type':

Write-up: hives on neck and chest 20mins after the injection. The hives burned no itching

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