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This is VAERS ID 1240231

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240231
VAERS Form:2
Age:37.0
Sex:Female
Location:Nebraska
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Face oedema, Full blood count, Lip oedema, Throat tightness, Metabolic function test

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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC,BMP
CDC 'Split Type':

Write-up: facial and lip edema, throat tightness


Changed on 5/7/2021

VAERS ID: 1240231 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Nebraska
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Face oedema, Full blood count, Lip oedema, Throat tightness, Metabolic function test

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: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: CBC,BMP
CDC 'Split Type':

Write-up: facial and lip edema, throat tightness


Changed on 5/14/2021

VAERS ID: 1240231 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Nebraska
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Face oedema, Full blood count, Lip oedema, Throat tightness, Metabolic function test

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: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: CBC,BMP
CDC 'Split Type':

Write-up: facial and lip edema, throat tightness

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