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This is VAERS ID 1367838

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367838
VAERS Form:2
Age:47.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01820 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dysphagia, Eye swelling, Swelling face, Swollen tongue, Throat tightness, Hypoaesthesia oral, Paraesthesia oral, Mouth 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Pt stated her tongue felt funny a little tingly-Mild, Additional Details: Pt refused 911. stated her tongue felt a little numb and "funny." but not swollen just different feeling

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367838&WAYBACKHISTORY=ON


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