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This is VAERS ID 1395070

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1395070
VAERS Form:2
Age:59.0
Sex:Female
Location:Florida
Vaccinated:2021-05-28
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2135 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood immunoglobulin G increased, Blood immunoglobulin M increased, Burning sensation, Discomfort, Dry eye, Dry mouth, Glossitis, Sjogren's syndrome, Swollen tongue, Eyelid margin crusting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xeljenz, 111 mg time release
Current Illness:
Preexisting Conditions: Rheumatoid Arthritis
Allergies:
Diagnostic Lab Data: SALIVARY PROTEIN 1 (SP 1) IGG ANTIBODIES* 30.7 High SALIVARY PROTEIN 1 (SP 1) IGM ANTIBODIES* 61.5 High
CDC 'Split Type':

Write-up: Reaction after Dose 2: Extreme dryness did not star until about 5 day after the 2nd shot. My tongues swelled to level of extreme discomfort. Over the next week the dryness, burins continues to get worse and worse. Reaction After Dose 1: Extreme dry mouth, eye, crusty eyes, burning sensation in my mouth, swollen and inflamed tongue. An extreme Sojren''s flare that was confirmed by positive antibodies result for m"Early Sojren''s antibodies. I had never had those symptoms before the vaccine. The dry mouth happened with an hour of receiving the first shot. One week later it exploded.

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