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This is VAERS ID 1371804

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371804
VAERS Form:2
Age:37.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Paraesthesia, Respiratory rate increased, Swelling face, Paraesthesia oral, Pharyngeal paraesthesia, 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: Penicillin, Phenergan, Codine
Diagnostic Lab Data: I was not instructed to have any tests or labwork completed.
CDC 'Split Type':

Write-up: At 8:55 AM, on June 1, 2021, a slight tingling was felt in the fingertips of my rught arm. I then felt an increase of heart rate and my husband noticed my breathing was more rapid. I began to feel a slight tingling on the back undersides of my tongue and the top of my throat. I got up to walk and had to sit back down due to throat swelling and breathing reatriction. It was apparent to others around me due to the thick choked breathing I was experiencing. I felt my throat and jawline/cheeks feel puffed up. A nurse appeared to assist me, check my breathing and heart rate, and monitor my symptoms. I was not given an EPI injection, but was treated qith an adult dose of liquid benedryl, and 30 mg of Prednisone. I was then instructed to take benedryl at 4 hour intervals along with a dose of Zyrtec one I got home and again at bedtime then a single dose of Zyrtec for the next few days. I stayed an extra 30 min after the initial reaction took place for monitoring.

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