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This is VAERS ID 906321

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906321
VAERS Form:2
Age:31.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-17
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 EJ1685 / UNK UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Middle insomnia, Oedema, Swollen tongue, Tongue discomfort

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: Vyvanz
Current Illness: None
Preexisting Conditions: None
Allergies: No known drug allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Woke up in the middle of the night on 12/20 and noticed that the left side of tongue felt like he had bit it. He woke up again on 12/21 at 1:10 AM with a swollen tongue. He also had left sided unilateral edema. NKDA or significant past medical history. No past allergic reactions. Went to the ED and was treated with benadryl and a methylprednisone. Sent home with additional medications in case condition worsened again.


Changed on 5/7/2021

VAERS ID: 906321 Before After
VAERS Form:2
Age:31.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-17
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 EJ1685 / UNK UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Middle insomnia, Oedema, Swollen tongue, Tongue discomfort

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: Vyvanz
Current Illness: None
Preexisting Conditions: None
Allergies: No known drug allergies allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Woke up in the middle of the night on 12/20 and noticed that the left side of tongue felt like he had bit it. He woke up again on 12/21 at 1:10 AM with a swollen tongue. He also had left sided unilateral edema. NKDA or significant past medical history. No past allergic reactions. Went to the ED and was treated with benadryl and a methylprednisone. Sent home with additional medications in case condition worsened again.


Changed on 5/21/2021

VAERS ID: 906321 Before After
VAERS Form:2
Age:31.0
Sex:Male
Location:Colorado
Vaccinated:2020-12-17
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 EJ1685 / UNK UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Middle insomnia, Oedema, Swollen tongue, Tongue discomfort

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: Vyvanz
Current Illness: None
Preexisting Conditions: None
Allergies: No known drug allergies allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Woke up in the middle of the night on 12/20 and noticed that the left side of tongue felt like he had bit it. He woke up again on 12/21 at 1:10 AM with a swollen tongue. He also had left sided unilateral edema. NKDA or significant past medical history. No past allergic reactions. Went to the ED and was treated with benadryl and a methylprednisone. Sent home with additional medications in case condition worsened again.

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