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This is VAERS ID 1454265

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454265
VAERS Form:2
Age:48.0
Sex:Female
Location:Maryland
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Palpitations, Pruritus, Throat irritation, Oral pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: migraine meds
Current Illness:
Preexisting Conditions:
Allergies: sulfur, elavil, rocephin,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: mouth itching, then throat, arms itching, heart palpitations , used benedryll

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454265&WAYBACKHISTORY=ON

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