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This is VAERS ID 1347904

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347904
VAERS Form:2
Age:57.0
Sex:Female
Location:Texas
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Facial paralysis, Flushing, Nausea, Rash, Swelling of eyelid, Pharyngeal swelling

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies: Penicillin, aspirin. Motrin, thimerasol
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dilation swelling in throat minutes after vaccination. Also became nauseated and light headed minutes afterward. Had to lie down at home. About 2 to 3 hours later. Right side of face flushed/light rash and right eye drooped and almost closed. Stayed this way for about 3 hours before eye started to resume to normal. Didn''t affect left side of body.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347904&WAYBACKHISTORY=ON


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