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From the 12/30/2020 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 908347

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Case Details

VAERS ID: 908347 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Ohio  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Senior Living       Purchased by: ?
Symptoms: Lip swelling, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (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: Depo-Provera
Current Illness: N/A
Preexisting Conditions: none
Allergies: n/a
Diagnostic Lab Data: No testing performed
CDC Split Type:

Write-up: lip swelling, eye lid swelling began approximately 36 hours after vaccination. Patient presented to ED and was treated with benadryl, protonix and prednisone. Plan to discharge home with the same

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