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This is VAERS ID 1368182

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368182
VAERS Form:2
Age:86.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-05-12
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 EW0179 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Flu vaccine reaction 3 years ago, had redness at site injection site. She was approx 83, at the time and is not sure of brand.
Other Medications: atenolol, amlodipine, atorvastatin not sure if she was taking atorvastatin or not during time of vaccine), lisinopril, gingko bibola, multivitamin biotin, calcium, CoQ10. In January 2021 got steroid injection into knee. triamcinolone ace
Current Illness: None
Preexisting Conditions: CAD- stent HTN hyperlipidemia cerebral migroangiopathy
Allergies: no known allergies
Diagnostic Lab Data: none.
CDC 'Split Type':

Write-up: After 4 hours after first vaccine had redness and burning in face and skull (4/21/21) was date of first vaccine), it resolved in the afternoon 4/22/21. June 1, 2021, which was 20 days after her second vaccine., she facial redness and burning sensation sensation on face. Noticed that her forehead was hot.

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