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This is VAERS ID 1477796

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1477796
VAERS Form:2
Age:59.0
Sex:Female
Location:Nevada
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Anaphylactic reaction, Dysphagia, Eye swelling, Swelling face, Swollen tongue, Throat tightness, Visual impairment, Mouth swelling

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Visual Changes/Disturbances-Severe

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1477796&WAYBACKHISTORY=ON


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