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This is VAERS ID 1457016

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1457016
VAERS Form:2
Age:74.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Lip swelling, Pruritus, Swelling face

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: Propranolol, biotin, fluoxetine, Valisone, Premarin, Synthroid, Zyrtec
Current Illness:
Preexisting Conditions: Hypothroidism, hyperlipidemia, ostepenia, anxiety, GERD
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Itching, face swelling , lips swelling

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457016&WAYBACKHISTORY=ON


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