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This is VAERS ID 1697593

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1697593
VAERS Form:2
Age:36.0
Sex:Female
Location:New York
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Urticaria, Eye pruritus, Restless legs syndrome

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: Flu Vaccine- Edema,Hives Pfizer 1st dose Asthma exasperated
Other Medications: Albuterol inhaler taken the last time on 8/25/21. 10 minutes after 1st Pfizer vaccine. Had asthma issues for 2-3 days following first (thought was a coincidence).
Current Illness: Occasionally GI upset due to chronic gallbladder
Preexisting Conditions: Systemic Lupus (though one remission for the last 4 years) Asthma
Allergies: Flu Vaccine, Shell fish, fish derivatives, Naproxen, doxycycline, Ceftin, Augmenting, IV and oral contrast both types, latex
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Had first vaccine on 8/25/21 had asthma attack 10 minutes post vaccine ( had significant asthma issues for 2-3days.. At first thought it was a coincidence). Had vaccine today 10-15 minutes later has asthma attack took inhaler still felt a bit tight after. Hives on face and chest, itchy eyes. Five hours after vaccine have restless leg like symptoms

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