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This is VAERS ID 1470178

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470178
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Unevaluable event

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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Shellfish
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient remained on site for 25 minutes and insisted on going home to take Benadryl, similar to what she does when she experiences these symptoms when she eats food that has shellfish or has touched shellfish. She has an EpiPen at home and I followed up to make sure she made it home okay since she did not want to remain on site. I called ~11:30 and she had made it home and just taken Benadryl. I advised to seek EMS if she has trouble breathing or continued to worsen. I called again that evening at around 6:30pm to follow up but had to leave a voicemail.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470178&WAYBACKHISTORY=ON


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