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This is VAERS ID 950711

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 950711
VAERS Form:2
Age:16.0
Sex:Female
Location:California
Vaccinated:2020-12-29
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Urticaria, Periorbital swelling, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None.
Preexisting Conditions: None.
Allergies: Yes, yesterday I broke into hives and right now my eyes are becoming puffy and my throat is swollen. The hives have disappeared when I woke up this morning.
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Last night I broke out into a bunch of itchy spots that resemble hives all over my body. The hives went away in the morning. Just now, 3:57pm today, I have puffy eyes and a swollen throat.


Changed on 5/7/2021

VAERS ID: 950711 Before After
VAERS Form:2
Age:16.0
Sex:Female
Location:California
Vaccinated:2020-12-29
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Urticaria, Periorbital swelling, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None.
Preexisting Conditions: None.
Allergies: Yes, yesterday I broke into hives and right now my eyes are becoming puffy and my throat is swollen. The hives have disappeared when I woke up this morning. morning.
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Last night I broke out into a bunch of itchy spots that resemble hives all over my body. The hives went away in the morning. Just now, 3:57pm today, I have puffy eyes and a swollen throat.


Changed on 5/21/2021

VAERS ID: 950711 Before After
VAERS Form:2
Age:16.0
Sex:Female
Location:California
Vaccinated:2020-12-29
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Urticaria, Periorbital swelling, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None.
Preexisting Conditions: None.
Allergies: Yes, yesterday I broke into hives and right now my eyes are becoming puffy and my throat is swollen. The hives have disappeared when I woke up this morning. morning.
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Last night I broke out into a bunch of itchy spots that resemble hives all over my body. The hives went away in the morning. Just now, 3:57pm today, I have puffy eyes and a swollen throat.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=950711&WAYBACKHISTORY=ON


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