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This is VAERS ID 1433419

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433419
VAERS Form:2
Age:49.0
Sex:Female
Location:Texas
Vaccinated:2021-06-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO191 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Erythema, Urticaria, Peripheral swelling

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:
Other Medications: Zyrtec 10mg 1 daily
Current Illness: Enlarged thyroid, Mitral valve prolapse within normal limits
Preexisting Conditions: Enlarged thyroid, Mitral valve prolapse within normal limits
Allergies: Tylenol, Ibuprofen, Morphine, Sulfa Drugs, Hydrocodone, Codeine, Synthroid, Soy, cashews, pecans, walnuts, cow''s milk/dairy ( whey, casein, protein ), spinach, catfish, celery, bell peppers, all beans,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: within 5 minutes of shot, my legs started to swell then broke out into raised hives and bright red all over. The pharmacist gave me Benadryl . Redness subsided after 30 minutes of Benadryl. Hives subsides after several hours later.

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