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This is VAERS ID 1694518

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1694518
VAERS Form:2
Age:43.0
Sex:Female
Location:Texas
Vaccinated:2021-09-08
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Lip swelling, Mouth ulceration, Pain, Pyrexia, Swollen tongue, Tongue ulceration, Chapped lips, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Magnesium, Vitamin D, Milk Thistle, Cinnamon, fish oil
Current Illness: None
Preexisting Conditions: High blood pressure, elevated blood sugar
Allergies: None
Diagnostic Lab Data: None yet
CDC 'Split Type':

Write-up: Swelling of the lips, mouth and tounge. Lesions on the interior of the top and bottom lip. Ulcers on the top and bottom of the tongue. Chapped lips. Joint pain, body aches, low-grade temp.

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